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Case Presentation UTH EM Aug 27 JSEBooth

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Desc: by James Booth, UT-Houston Emergency Medicine 4th-Year Rotation

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  1. Slide 1:Case Presentation UT-Houston Emergency Medicine Rotation, August 2008 James Booth
  2. Slide 2:23-yr-old Woman CC: Abdominal Pain
  3. Slide 3: HPI RLQ/Suprapubic, 8/10, cramp-like pain Started 12 hrs ago and worsened over the course of 30 minutes. It has been constant since then. Pain is worsened with movement, including change in position. Took one vicodin with no relief. Pain feels similar to monthly cramps but more constant & worse.
  4. Slide 4: HPI No fevers/chills. No N/V. No diarrhea. Tolerating PO, but decreased appetite since onset on pain. No vaginal discharge or bleeding LMP: June 23rd (~2 months ago) History of irregular periods. Patient has taken 2 home pregnancy tests over last 2 months. Both negative.
  5. Slide 5: ROS No wt changes. No URI Sx. No SOB/CP. (+) Pressure-like, suprapubic pain with urination today. No