Intrauterine pregnancy presenting with fever. What do you do? — First Trimester Pregnancy Emergencies in the ED January 5, 2019
Posted by Andy Jagoda, MD in: What's Your Diagnosis , trackback
Late in your shift, you evaluate a 26-year-old woman who has a confirmed intrauterine pregnancy at 11 weeks’ gestation and presents for fever, dysuria, and right flank pain. An ultrasound was performed in triage that showed bilateral mild hydronephrosis.
Several questions flood your mind. What do you make of that finding, which antibiotics would be safe for treatment, and can she be managed as an outpatient?