A 20-year-old woman presents with right-sided severe pain radiating to the shoulder tip. She has a history of two months of amenorrhea. The most likely cause is:

Answer: Ectopic pregnancy
Explanation

In a young woman with severe right-sided abdominal pain radiating to the shoulder tip, along with a history of amenorrhea, ectopic pregnancy is a significant concern.

Ectopic pregnancy occurs when a fertilized egg implants outside the uterus

Most commonly in the fallopian tube, and can lead to severe abdominal painย 

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