Case 4: 25 year old female with nausea and vomiting
Written by Bushra Ibnauf Sulieman, MD, MS, Gastroenterologist, Wichita, Kansas, USA Reviewed by Ihab Babiker Abdalrahman, MD, Assistant Professor of Medicine, University of Khartoum, Sudan Mamoon M. Elbedawi, MD, Gastroenterologist, Weill Cornell Medical College, Doha, Qatar Khalid Elamin, MRCP, Gastroenterologist, Torquay, UKHistory
A 25-year-old obese woman presents to the emergency department with a 24-hour history of nausea, vomiting and increasing epigastric pain that radiates to the back. She also reports chills. She had similar but milder episodes of pain a few times in the past year.
Past Medical History: negative.
Past Surgical History: negative.
Social History: the patient does not smoke. She drinks alcohol rarely. Has a 3 month old baby.
Drug History: She does not use any prescription or over-the-counter medications.
Physical Examination:
Blood Pressure: 152/85, Respirations: 20/minute, Pulse: 106/minute, Temp.: 103 F (39.4 C)
Cardiopulmonary examination is normal apart from tachycardia.
She has a tender epigastrium and right upper quadrant