A 17-year-old female presents via EMS from her boyfriend’s home after a report of two separate episodes of generalized tonic-clonic seizure like activity. She has no previous history of seizures. Per EMS, she was given versed on scene for seizure like activity lasting roughly 5 minutes. She was also febrile to 100.8°F. The emergency department team is unable to obtain a detailed history from the patient and unable to reach the family when the patient first presents to the ED…
Read MoreA 15-year-old female presents to your emergency department with her mother. She is tearful and withdrawn. She tells you that she was sexually assaulted by a 20 year old male acquaintance 2 days prior. She reports that she would like to report the assault and would like to have a forensic exam. She is having some vaginal bleeding and pain around her rectum. She admits to using alcohol and some marijuana on the night of the assault. She is unable to remember everything that happened and thinks her assailant may have put a drug in her drink…
Read MoreA 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 More
