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