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Case of the Week - Case # 95

21-year-old G3P2 TOA1 female presents with severe pelvic pain, lies with her hips flexed and won't straighten her legs. Pulse 102, BP 102/80,temp 37.0 R-16. Pt refuses pelvic and abd exam, demands a CT scan, denies pregnancy based on a mefipristone abortion 6 weeks PTA. Her serum preg IS negative...

Posted to Cases (Weblog) by Rob on 09-29-2008
Case of the Week - Case # 92

34-year-old female with left lower abdominal pain and spotting. She has a quant of 786. Her vitals are stable and she is afebrile. You perform a focused ultrasound and note the following... Take the Case

Posted to Cases (Weblog) by Rob on 09-08-2008
Case of the Week - Case # 87

24-year-old female presents with vaginal spotting and cramping. Her quant HCG is 2241. She is at 10 weeks by dates. She is hemodynamically stable. You perform a focused ultrasound. The mean sac diameter was calculated (28 mm)... Take the Case

Posted to Cases (Weblog) by Rob on 08-03-2008
Case of the Week - Case # 83

A 24-year-old G1P0 female presents to the ED with pelvic cramping and spotting. Her vitals are stable and she is afebrile. The patient states she has had some lower pelvic pain for 36 hours and has bleed less than 2 pads in the last 12 hours. Her quantitative hCG is 3,680. You perform a focused bedside...

Posted to Cases (Weblog) by Rob on 07-07-2008
Case of the Week - Case # 61

A 23-year-old female presents with vaginal bleeding and lower abdominal pain. She is approximately 6 weeks pregnant by date and has a positive bedside UCG. Her vitals are as follows: BP 88/46, HR 122, RR 24 and T 37.1C. Her physical exam reveals moderate lower abdominal tenderness with guarding. She...

Posted to Cases (Weblog) by Rob on 01-30-2008
Case of the Week - Case # 43

A 24 y.o. G3P2002 WF who is 8.5 weeks by dates presents with vomiting and lower abdominal cramping without vaginal bleeding. She denies any PMH or known ectopic risk factors and has stable vital signs. Take the Case

Posted to Cases (Weblog) by Rob on 09-15-2007
Case of the Week - Case # 26

34 y.o. female presents with severe abdominal pain three days after having undergone a D&C and endometrial biopsy. The patient is toxic in appearance with diffuse tenderness and rebound on examination. Her vitals are: BP 76/42, HR 148, RR 28, T 39.5. You perform a transabdominal ultrasound of her...

Posted to Cases (Weblog) by Rob on 05-09-2007
Case of the Week - Case # 23

24-year-old female presents with suprapubic cramping and bleeding. Her vitals are stable and she is afebrile. By dates she is 11w5d and her quantitative HCG is 5897 mIU/ml. You perform an EV ultrasound and note the following ... Take the Case

Posted to Cases (Weblog) by Rob on 04-18-2007
Case of the Week - Case # 6

A 27-year-old female without PMH who is pregnant (19w4d by dating from a 1st trimester OB ultrasound) presents with right flank pain and vomiting. She was initially sent to L&D triage but is sent back to the ED since she is under 20 weeks. Her vitals are stable (including fetal cardiac activity by...

Posted to Cases (Weblog) by Rob on 12-06-2006

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