A 24-year-old female with a past medical history of polycystic ovarian syndrome and urinary tract infections, who presented to the emergency department (ED) via urgent care with acute on chronic worsening abdominal pain and a cystic structure in the pelvis on computed tomography (CT) scan…
Read MoreA 26 year-old with no significant past medical history presents with two days of abdominal pain and vaginal bleeding. She describes the pain as a 4/10, “crampy” and diffuse, located in the lower abdomen. She is not experiencing any nausea, vomiting, diarrhea, constipation, dysuria, or increase in urinary frequency or urgency. Her last menstrual period was approximately 7-8 weeks ago and she has a history of regular periods. She has no history of STIs, prior surgeries or pregnancies, and is uncertain whether she desires pregnancy currently…
Read MoreA 32-year-old female with no significant past medical history presents to the emergency department with complaints of nausea, vomiting, and bloating. The patient reports her last menstrual period was about 2 months prior to presentation. She was evaluated about one-month ago, at which time she was told that a pelvic ultrasound revealed an intrauterine gestation sac without a fetal pole or yolk sac, suspicious for early pregnancy failure. The patient subsequently developed vaginal bleeding, associated with abdominal cramping, nausea, and vomiting. She interpreted these symptoms as a miscarriage. The patient states that the vaginal bleeding has since subsided, but she endorses continued and progressive nausea, vomiting, and bloating. She is unable to tolerate oral intake. She denies fever, headache, abdominal pain, back pain, vaginal discharge/odor/pain, dysuria, or diarrhea…
Read MoreA 36 year-old female presented with the acute onset of abdominal pain and sweating. She had taken multiple home pregnancy tests, all of which were positive, and then experienced a bout of severe dizziness. On physical exam, she was very pale, and had a flat, but tender abdomen. Soon after arrival, the patient became unresponsive, but was still breathing with rapid pulses. She was placed in reverse trendelenburg, and multiple attempts were made to get an automated blood pressure reading with no luck. Finally, a manual blood pressure of 70/58 was obtained. Fluid resuscitation was initiated and bedside ultrasound was performed…
Read MoreThe following are two cases of vaginal bleeding seen in the a community Emergency Department during the same shift…
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