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Case 89 - A 24-Year-Old Woman Presents with Evidence of a Ruptured Ectopic Pregnancy and Is Reporting Concomitant Fever, Chills, and a Productive Cough

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 24-year-old gravida 1, para 0 female presents to the emergency department with a positive home pregnancy test and the acute onset of lower abdominal pain, right shoulder pain, and vaginal spotting. The pain is severe and woke her from sleep. She rates the pain as 8/10. She is a nurse and has stayed home from work the last three days due to fever, chills, and cough. She describes the cough as productive of yellow sputum. She has pain in her chest with coughing. She denies nausea, vomiting, or urinary symptoms. Her last menstrual period was six weeks ago.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 272 - 274
Publisher: Cambridge University Press
Print publication year: 2021

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