miky
Forum Senior
Topics: 16
Posts: 99
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Here's a nice clinical case:
24 yo female is brought in the ER with acute onset severe lower abdominal pain, nausea & vomiting, diaphoresis, dysuria & severe dizziness.
History: no menses over the past 12 weeks, multiple sex partners, one episode of fevers and lower abdominal pain that resolved without treatment 3 months before admission.
Physical: BP = 80 / 50, lower abdominal tenderness, involuntary guarding, HR = 200 bpm, RR = 28 / min, cervical spotting, no uterine / cervical motion tenderness.
The most logical investigation is: :shock:
The presumtive dx is: 8)
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| miky
Forum Senior
Topics: 16
Posts: 99
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Presumtive dx: ruptured ectopic pregnancy
Next: pregnancy test (BhCG) - if positive'
Next: Emergent Laparotomy (the pt. has signs and symptoms of periotneal irritation most probably secondary to an already ruptured EP)
Next: Unilateral salpingo - oophorectony (surgical tx after stabilization) :lol:
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always happy and ready to serve and help my friends and patients as well.
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| bozhenka
Forum Senior
Topics: 1
Posts: 122
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I knew it :-)
why you do not give to us chance for answer?
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| ELM
Forum Guru
Topics: 28
Posts: 936
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Thank you miky for the case!
Yes... :lol: please give as a chance to answer ..or otherwise we will have to cover half of our monitor screen try to avoid looking up the answer....( to prevent cheating ourselves) which i just did. :lol:
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ELM
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| Cedrick
Forum Fanatic
Topics: 320
Posts: 1,928
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Woman
Ectopic pregnancy
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