An 18-Year-Old With Nausea and Increased Abdominal Girth

Michel E. Rivlin, MD


January 26, 2016

Editor's Note:
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An 18-year-old white woman presents to the clinic with a 2-month history of generalized abdominal pain, nausea, decreased appetite, and increased abdominal girth. She is not exhibiting any abnormal urinary or bowel symptoms, but she does complain of an intermittent, low-grade fever that is sometimes accompanied by chills. A review of her past medical, surgical, and family histories is insignificant.

Her menstrual history reveals regular cycles. She is nulligravid but is sexually active and is not currently using any contraception. She has no known allergies and does not regularly take any medications.


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