Abdominal Pain in a 26-Yr-Old Pregnant Woman

• Medical history: Mild intermittent asthma diagnosed in childhood requiring only occasional rescue inhaler use, no hospitalizations for asthma. She is otherwise healthy.


• Surgical history: Wisdom teeth removed at age 18.


• Medications: Albuterol inhaler as needed, about once a month. Daily prenatal vitamin.


• Allergies: No known drug allergies.


• Family history: Mother is healthy at age 50. Father is 53 years old with high blood pressure.


• Social history: Patient is employed as an engineer. She exercises 3 days/week. She drinks 2 glasses of wine per week but stopped when she found out she was pregnant. She does not smoke or use any illicit drugs. She has not had any recent travel. She is monogamous with 1 male partner.