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I would have also arranged a scan, but I am a little paranoid about abd pain in early pregnancy. In fact I am paranoid about missing a HCG negative ectopic. The balance of probability is that the scan would almost certainly have shown an IUP, but an abnormal result would have completely changed management. I suppose it is a little like doing a CT/LP for all sudden onset headaches. I am not sure of the evidence base behind this approach, but ' feel sure that our radiologists would "hapily" perform this. Can you explain what you "wouldn't have" ie you wouldn't scan or you wouldn't send home without one. Alistair -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]]On Behalf Of Craig Ellis Sent: 26 August 2004 11:56 To: [log in to unmask] Subject: UTI's, abdo pain and early pregnancy Young woman, 6-7 weeks pregnant, no scan. presents with crampy lower abdo pain and frequency. no dysuria, no bleeding. no fever. Urine +ve for protein, blood, leuks and nitrates. Would anyone scan her to confirm an IUP or would you be happy to treat the UTI and send her home to follow-up with GP Im reviewing a case - you can guess what happened. From the info I have I wouldnt have. Would any of you? Craig _________________________________________________________________ Surf the net and talk on the phone with Xtra JetStream @ http://xtra.co.nz/jetstream