W.H.
Patient is a 40 year old AA woman @ 28 WGA who
presents to the ER in a somnolent state
History obtained from patient’s boyfriend
He states that he found her with a joint in her
hand and passed out on the floor
He immediately called 911
He also states that he isn’t sure the
baby is his
VS P111 BP 160/90 R18 T37 1
PE pupils mildly dilated to 3mm bilaterally but
equally reactive to light & accommodation
Abd: soft, nontender
Pelvic exam: non-dilated cervix
vagina packed with 8 bags of rock &
powder cocaine
Each rock was manually removed one by one
from the patient’s vagina
White residue spilled upon the white & blue chuck.
She woke up & asked if the baby would make it.