yo G***P***woman at ***weeks gestational age by LMP/ultrasound presenting with<unk>  pain/vaginal bleeding. Considered ectopic pregnancy, spectrum of miscarriage/abortion (threatened, inevitable, incomplete, complete, septic) as well as causes of female-specific<unk>  pain unrelated to pregnancy (e.g., pelvic inflammatory disease with or without tubo-ovarian abscess, Fitz-Hugh-Curtis, etc.). Also considered causes of<unk>  pain that are not gender-specific (e.g., appendicitis, volvulus, small bowel obstruction, mesenteric adenitis, acute cholecystitis/choledocholithiasis and other biliary pathology, etc.). Patient well-appearing with normal vital signs. Patient is Rh ***and therefore requires/does not require RhoGAM. Gave patient strict return precautions for worsening pain, increased vaginal bleeding, fever (temperature above 100.4F), lightheadedness/syncope or other concerns.
For consideration of ectopic pregnancy, the quantitative beta hCG was ***and therefore was above/below the discriminatory zone of 1,500 mIU/mL. Transvaginal/transabdominal ultrasound demonstrated ***. Patient will follow up in 48 hours with their obstetrician.
Harbor Macros: Abdominal Pain
Harbor Macros: Chest Pain
Harbor Macros: Back Pain
Harbor Macros: Syncope
Ultrasound: In Shock and Hypotension
OVMC:Pain and Substance Use Disorder
Harbor Macros: AMA
PALS: Bradycardia