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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 # 88

During your ED shift, a resident comes to you and asks you to look at a 1st trimester OB scan he has performed. He is concerned about impending fetal demise due to severe fetal bradycardia. The resident shows you the following video and you note the following… Take the Case

Posted to Cases (Weblog) by Rob on 08-11-2008
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 # 38

A 24-year-old hispanic female comes in with suprapubic cramping and mild vaginal bleeding. This is her first pregnancy and she has no known ectopic risk factors. She is about 8.5 weeks by her last menstrual period. Her vitals are stable and her physical examination is only significant for mild suprapubic...

Posted to Cases (Weblog) by Rob on 08-04-2007
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 # 11

A 22-year-old female presents with spotting and cramping. She is G1P0 and is @12 weeks by dates. Her vitals are stable and on exam her uterus is enlarged to @10 weeks and her cervix is closed. You perform a bedside ultrasound and note the following... Take the case

Posted to Cases (Weblog) by Rob on 01-10-2007
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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