Author: Jacqueline Eleonora Ek / Editor: Nick Tilbury / Reviewer: Jacqueline Eleonora Ek / Codes: / Published: 08/02/2021 / Reviewed: 30/09/2024
A 25-year-old female with no past medical history, on oral contraceptive tablets, presents to your Emergency Department (ED) with a two-day history of headache, diarrhoea, vomiting, fatigue, and sending incoherent text messages to her friends.
She was seen the day before by her GP who encouraged oral fluids and over-the-counter analgesia for suspected viral gastroenteritis.
Her Initial observations are all normal
Examination findings are as follows:
- Chest: clear
- Abdomen: soft, mild generalised tenderness
- Lower limbs: no signs of deep vein thrombosis, no oedema.
- Neurological exam: cranial nerves 1-12 intact, upper and lower limb power 5/5 and sensation grossly in-tact, No cerebellar signs, normal gait
