Abstract |
Scovia is a 21-year-old primigravida in her third trimester of pregnancy in Tororo, Uganda. She is complaining of a severe, unrelenting headache, malaise, abdominal pain, and joint pains for the past 3 days. She has occasional fevers on and off. Fetal movements have decreased. She does not complain of contractions, vaginal bleeding, or leakage of fluid. On examination, her cervix is closed, and a normal fetal heartbeat is auscultated. Her fundal height is 33 cm. Her temperature is normal, but she is noted to be tachycardic at 120 beats per minute. Neurological, abdominal, and joint examinations are normal. |