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:

  1. Obtain pregnancy test
  2. Confirm IUP
  3. Administer Rhogam
  4. Treat UTI
  5. 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