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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
- By Natalie Bowersox
Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
Book:

Surgical Gynecology

Published online:

19 November 2021

Print publication:

02 December 2021, pp 272-274
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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.