Round 2 (MW) – Abdominal Pain

You are working at Clerkship General when the next chart gets handed to you – a 31 year old female presenting with abdominal pain.











Initial Vitals:











BP: 109/65











HR: 96











RR: 21











O2: 99%











Temp: 99.1F











Critical Actions:











* Obtain pregnancy test* Confirm IUP * Administer Rhogam* Treat UTI* Counsel the patient and discharge them











Further Reading:











CoreEM – Utility of Anti-D Immunoglobulin(Rho Gam) During First Trimester Pregnancy











EMDocs – Bleeding in Early Pregnancy