Vicki Parikh, MD
62 year old female PMHx HTN and DM presents to the ED with two weeks of worsening left leg swelling. Pain is 8/10 and described as “achy”. Worse with ambulation. Tried tylenol with no relief. Vital signs are within normal limits.
A 32 year old female G3P2002 at 25 weeks gestation presents to the ED with progressively worsening dyspnea associated with pleuritic chest pain. You are concerned that this patient has a pulmonary embolism. All of the following may be appropriate diagnostic studies for this patient with the exception of:
A 21 year old female presents to the ED with vaginal bleeding. She reports that a home pregnancy test was positive this morning. A beta hcg quant level is drawn and pending. On ultrasound you identify an extrauterine gestational sac without an IUP.
A 28 year old female G2P0010 at 9wga by LMP presents to the ED with nausea and vomiting for the past 3 weeks. She reports that since she found out she was pregnant she has felt nauseated nearly every day. She comes to the ED today because she has begun vomiting and is unable to eat or drink much for the past week.