History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Essential Differential Diagnosis
Relevant Testing
Test Results
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
About the Case
Abdominal Pain in a 26-Yr-Old Pregnant Woman
Review of Systems
General
: Patient feels generally weak and ill but was in her usual state of health until 3 days ago. She has gained approximately 5 lbs (2.3 kg) in the pregnancy so far.
Skin
: She denies rash.
HEENT
: Her mouth feels dry. No headache, nasal congestion, or sore throat.
Pulmonary
: She denies cough or shortness of breath.
Cardiovascular
: She denies chest pain or palpitations.
Gastrointestinal
: She has had a decreased appetite for 1 day and has been unable to keep any food or drink down this morning due to nausea and vomiting. She has not had diarrhea or constipation.
Genitourinary
: She reports a frequent urge to urinate and a sensation of incomplete bladder emptying for the past 3 days. No dysuria or hematuria. She is G1P0A0 and has been seeing an obstetrician for all routine visits and testing. No vaginal bleeding.
Musculoskeletal
: She reports mild diffuse low back pain. No generalized muscle aches.
Neurologic
: Noncontributory
Psychiatric
: Noncontributory
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