Approach to vomiting (acute) Quiz: Ace Your Exams
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A 24-year-old woman presents to the emergency department for evaluation of two days of persistent nausea and vomiting. She reports fatigue and intermittent, crampy lower abdominal pain. She has been taking ibuprofen daily for the pain. She has no fever, diarrhea, or history of recent travel, but she does have a history of kidney stones. She is sexually active with one male partner. Temperature is 37°C (98.6°F), blood pressure 110/70 mmHg, heart rate 96 beats per minute, and respiratory rate 18 breaths per minute. On physical examination, the abdomen is soft with mild diffuse abdominal tenderness and without rebounding, guarding, or costovertebral angle tenderness. Which of the following is the best next step in management?
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