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SAEM Clinical Images Series: Unidentified Intrauterine Object

ALiEM

A 31-year-old female G3P2 presented to the emergency department with vaginal spotting for one week and worsening lower abdominal cramping. She had not yet seen an OB for this pregnancy. Pregnancy outcome in women with an intrauterine contraceptive device. Her last menstrual period was one month and three days prior.

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How to Diagnose and Manage Hypertensive Disorders in Pregnancy

ACEP Now

You follow the recommended emergency department (ED) lab workup for hypertensive disorders of pregnancy, including urine protein/creatinine ratio, serum creatinine, platelet count, complete blood count, and renal liver function tests. Initial vitals show a blood pressure (BP) of 170/115 mm Hg, which remains elevated 15 minutes later.

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