MDM //

Patient presents with nausea and vomiting, likely hyperemesis due to pregnancy. Currently euvolemic without any abdominal tenderness or peritoneal signs. Nontoxic appearing; query possible gastroenteritis. Nausea control, rehydrate, serial abdominal exam, reassess. At this time, given initial history and exam, low suspicion for appendicitis or cholecystitis. Doubt pancreatitis, pyelonephritis. Doubt anginal equivalent. Low suspicion for PID or torsion, ectopic pregnancy, uterine rupture. The patient was initially treated with Zofran. XXX On reassessment, patient feels much improved. Tolerating oral intake, repeat abdominal exam reveals no abdominal tenderness.



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