Finding Fluid


Case: “A Routine Procedure”

  • 22 y.o. woman laparascopic tubal ligation earlier that day
  • Arrives by ambulance after syncope
  • Initial blood pressure 90/50, improved with IV fluids
  • Some abdominal tenderness at incision points
  • Gyn surgeon: “a routine procedure” - vasovagal
  • Patient stands up and states she is feeling “dizzy”...
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