Pott's disease in pregnancy - The University of Chicago Department ...
Pott's disease in pregnancy - The University of Chicago Department ...
Pott's disease in pregnancy - The University of Chicago Department ...
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MKSAP<br />
An 18-year-old woman is evaluated <strong>in</strong> the emergency department<br />
because <strong>of</strong> a 3-day history <strong>of</strong> lower abdom<strong>in</strong>al pa<strong>in</strong>. She does not<br />
have ur<strong>in</strong>ary frequency, dysuria, flank pa<strong>in</strong>, nausea, or vomit<strong>in</strong>g.<br />
Her only medication is an oral contraceptive agent.<br />
On physical exam<strong>in</strong>ation, temperature is 38.3 °C (101.0 °F), blood<br />
pressure is 118/68 mm Hg, pulse rate is 104/m<strong>in</strong>, and respiration<br />
rate is 16/m<strong>in</strong>. Abdom<strong>in</strong>al exam<strong>in</strong>ation is normal. <strong>The</strong>re is no flank<br />
tenderness. Pelvic exam<strong>in</strong>ation shows cervical motion tenderness,<br />
fundal tenderness, and bilateral adnexal tenderness on bimanual<br />
exam<strong>in</strong>ation.<br />
<strong>The</strong> leukocyte count and ur<strong>in</strong>alysis are normal. Ur<strong>in</strong>e and serum<br />
<strong>pregnancy</strong> tests are negative.