Question

What will be your clinical impression and disposition with the situation?
Assuming that you are in Emergency Department Services
HPI: 24-year-old G1P0 female presents to the ER with complaints of severe nausea with intractable vomiting. It has been "2 or 3 months" since her LMP. Past Medical History: Unremarkable. Review of Systems: As above. Physical Exam: Afebrile, BP= 120/85, P= 105. Patient is pale, vomiting, and abdomen is nontender. ED Course: HCG is 95,000 IU/ml. Uterine ultrasound revealed a snowstorm pattern and no fetus was detected.

Answer 1

Given ,

Physical Exam: Afebrile, BP= 120/85​.​​​ P= 105. Patient is pale, vomiting, and abdomen is nontender. ED Course: HCG is 95,000 IU/ml.

Ans : Clinical impression for this will be -

1) Patient needs to be diagnosed with the possible underlying problems.

2) Patient need to be given the proper treatment for the nausea, vomiting to avoid any serious consequences.

3) The Paleness of the patient is due to the lower haem count that needs to be controlled immediately by providing iron tablets.

4) Ultrasound must be performed immediately.

5) For the treatment of non tender abdomen visual examination of abdomen, because generally this is due to the inflammation and for this medications should be given immediately.

For eg : Acetaminophen.