During home visit a 20- year-old woman has complaints in the right lower part of the abdomen, nausea, dizziness. These complaints appeared 6 hours ago after physical activity. Objective: moderate pains in the lower part of the abdomen, slight positive peritoneum irritation symptoms, TA 95/65 mm Hg.st.. Pulse 100x'. Your tactic in this case:
A. Refer to a surgeon in an out-patient clinic
B. Hospitalize in surgery department for observation
C. Refer to gynecologist consultation
D. Hospitalize in surgery department for diagnostic laparoscopy
E. Send for treatment to internist
Answer: D. Hospitalize in surgery department for diagnostic laparoscopy