Case Details

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Abdominal pain, syncope, hypotension, and tachycardia

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This patient simulation case involves a young woman who presents with syncope and abdominal pain. A pregnancy test in the emergency department is positive, which is a concerning finding for this patient who has had a tubal ligation. She is hypotensive and tachycardic with a bedside ultrasound significant for intraabdominal free fluid and a possible left sided ectopic pregnancy. Appropriate treatment includes fluid resuscitation, obstetrical consultation, blood transfusion if necessary, and disposition to the operating room for a presumed ruptured ectopic pregnancy. Debriefing materials are provided to illustrate and stimulate discussion of the important concepts for diagnosing and treating patients with ectopic pregnancy. 

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