Case Scenario for UCF Live Standardized Patients
Emergency Providers and Nurses
Patient A
CC:
Acute Pelvic Pain
VS:
T 98.2, HR 90, BP 124/80, RR 20, 98% on room air
Pain 4/10
Labs:
Point-of-care urine pregnancy test is negative
ESI:
Level 3
Case Scenario for UCF Live Standardized Patients
Emergency Providers and Nurses
Patient B: Pre-menopausal
CC:
Heavy and painful periods x 2 months
VS:
T 98.6, HR 76, BP 116/70, RR 16, 98% on room air
Pain 4/10
ESI:
Level 3
HPI:
Diffuse, cramping pelvic pain during menses for the past 2 months. Pain had been 4/10
but increased to 6/10 this month. Menses every 28 days lasting 8 days. No change in
heavy flow for the first 2 days, but now passed clots which is new prompting her to
come to the ED. Wears a tampon and pad the first few days changing every 3-4 hours.
Often has to call off work for the first two days of her menses. Has tried many over-thecounter meds including ibuprofen and acetaminophen, but nothing relieves the pain.
Warm compresses to her lower abdomen help take the edge off.
ROS:
Denies lightheadedness, dizziness, chest pain, palpitations, shortness of breath, vaginal
discharge, urinary symptoms.
PMH:
PTSD
Iron deficiency anemia
PSH:
Appendectomy 2007
OB/GYN:
G5P4Ab1
LMP 8/8/14, as above
Not sexually active for 6 months
Nexplanon® since 10/2013
History of chlamydia in teens, denies history of pelvic inflammatory disease
SocHx:
Divorced, lives alone
Non-smoker, no alcohol or drug use
Denies IPV
Allergies:
PCN
Medications: Ferrous gluconate daily, Nexplanon®
Labs:
Point-of-care urine pregnancy test is negative
Case Scenario for UCF Live Standardized Patients
Emergency Providers and Nurses
Patient B: Post-menopausal
CC:
Vaginal bleeding x 2 days
VS:
T 98.6, HR 76, BP 116/70, RR 16, 98% on room air
Pain 4/10
ESI:
Level 3
HPI:
Light to moderate vaginal bleeding started acutely 2 days ago without inciting event.
Denies abdominal/pelvic pain. No clots passed. LMP was 3yrs ago and hasn’t had any
bleeding until now. Does not use anything in vagina. Never on HRT.
ROS:
Denies lightheadedness, dizziness, chest pain, palpitations, shortness of breath, vaginal
discharge, urinary symptoms, and rectal bleeding.
PMH:
PTSD
PSH:
Appendectomy 2007
OB/GYN:
G0
LMP 3 yrs ago
Not sexually active for 6 months
Remote history of chlamydia
Denies history of pelvic inflammatory disease
SocHx:
Divorced, lives alone
Non-smoker, no alcohol or drug use
Denies IPV
Allergies:
PCN
Medications: Calcium/Vitamin D