Assignment task:
A 27-year old female is admitted to the surgical unit of a woman and infant's hospital. She presented to the emergency department (ED) with sudden onset of severe abdominal pain localized to the lower quadrants of the abdomen and the lower back. She reports a history of prediabetes, sexually transmitted infection, and pelvic inflammatory disease. She reports amenorrhea for 10 weeks. The physical examination done by the ED physician reveals tenderness on palpation of the pelvic area and a palpable mass in the right lower quadrant of the abdomen. A complete blood count (CBC), basic metabolic panel (BMP), serum human chorionic gonadotropin (hCG) level, and transabdominal/transvaginal ultrasounds were done. Transabdominal/transvaginal ultrasound findings include no evidence of intrauterine pregnancy with a thick endometrium. Fallopian tubes and ovaries show evidence of a complex extra-adnexal cyst or mass and extra-uterine fetal cardiac activity is noted. An ectopic pregnancy is diagnosed. Tubal rupture cannot be excluded. Laboratory results reveal a white blood cell count of 11,000/mm3 (11 × 109/L), hemoglobin 16 g/dL (160 mmol/L), hematocrit 50% (0.50), glucose 99 mg/dL (5.45 mmol/L), hCG 120,000 mIU/mL, and normal electrolytes and renal function studies. The licensed practical nurse (LPN) is assigned to the client and is