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