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At the end of a particularly busy shift, you meet Mary,\uda 24 year-old female with no past medical history, who\udpresents with six hours of crampy, intermittent, periumbilical\udabdominal pain but no associated fever, nausea, vomiting,\uddiarrhea or anorexia. Her vital signs are normal and her\udabdominal and gynecological exams are notable only for mild,\uddiffuse abdominal tenderness without rebound or guarding.\udHer lab results and urinalysis are unremarkable, and her pain\udimproves somewhat with intravenous pain medications. You\udexplain to the patient that you have a low suspicion for an\udintraabdominal emergency, but cannot be certain without\uda computed tomography (CT) scan. “I’ll do whatever you\udrecommend,” she replies. The patient ultimately gets a CT,\udwhich is normal, and she is discharged 30 minutes later with a\uddiagnosis of nonspecific abdominal pain

Achieving the Triple Aim Through Informed Consent for Computed Tomography