Author: Nauman Arshad / Editor: Fiona Mendes / Codes: / Published: 31/10/2022
A 27-year-old Indian female presents to the Emergency Department (ED) with left lower abdominal pain and vaginal bleeding on-going for the last 4 hours. She had one fainting episode before presenting to the ED. She uses the Cerazette (progesterone only contraceptive pill). She had pelvic inflammatory disease which was treated with oral antibiotics three years ago. She is a non-smoker.
Examination: Alert and oriented, appears pale and clammy.
Vital signs:
- Oxygen saturations in room air: 96%
- Respiratory rate: 22 breaths/minute
- Pulse: 115 beats per minute and regular
- Blood pressure: 96/60 mmHg
She has a positive pregnancy test. You suspect this is an ectopic pregnancy.
