A 17 year-old adolescent presents with a one day history of…

A 17 year-old adolescent presents with a one day history of abdominal pain. Her pain is severe, intermittent and localizes to the right side. She has not eaten in nearly one day. Her last menstrual cycle was about 3 weeks ago. On examination, her temperature is 98.7F and her pulse is 92 beats per minute. Her abdominal examination show rebound, guarding on the right side. Bimanual examination demonstrates moderate tenderness in the right lower quadrant. A  pelvic ultrasonogram show a  6cm right adnexal mass with diminished flow. Her urine pregnancy test is negative. What is her most likely diagnosis?

68-year-old woman, gravida 3, para 3, presents with loss of…

68-year-old woman, gravida 3, para 3, presents with loss of urine with coughing and sneezing. Her symptoms are worse when she exercises. She denies urinary urgency. She underwent an abdominal hysterectomy with bilateral salpingo-oophorectomy 20 years ago for abnormal bleeding. On examination, she is 62″ and weighs 180 pounds. Her abdomen is obese without masses or tenderness. On pelvic examination, her vagina is atrophic and she has slight descent of the vaginal vault. There are no palpable masses. What is her likely diagnosis?