09.01.2022 - By Zack Olson, MD and Michael Estephan, MD
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