Author: Renee Haywood / Editor: Sarah Edwards / Codes: / Published: 05/12/2023

A 38-year-old female presents to the Emergency Department (ED) with a one-day history of vomiting and epigastric pain. She is 4 days post-partum. She has felt generally unwell with a headache that she attributes to lack of sleep caring for newborn child.

She has no significant past medical history, no medical issues during pregnancy and had an uncomplicated spontaneous vaginal delivery at term of her first child 3 days ago. She takes no regular medications.

On examination:

  • Respiratory Rate of 16
  • Oxygen saturations of 99% on air
  • Blood pressure 179/101
  • Pulse 83

On examination her abdomen is soft with RUQ and epigastric tenderness, with guarding and no rebound tenderness.

Her blood test results are shown below:

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