Language
English
Publication Date
1-1-2023
Journal
NEJM Evidence
DOI
10.1056/EVIDmr2200281
PMID
38320092
PMCID
PMC12435394
PubMedCentral® Posted Date
9-16-2025
PubMedCentral® Full Text Version
Author MSS
Abstract
Morning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient’s chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case.
This report examines the story of a 43-year-old (gravida 3, para 2) woman who sought evaluation for leakage of vaginal fluid at 15 weeks of gestation. Using questions, physical examination, and testing, an illness script for the presentation emerges. As her clinical course progresses, the differential is refined until a final diagnosis is made.
Keywords
Pregnancy, Female, Humans, Adult, Pregnancy Trimester, Second
Published Open-Access
yes
Recommended Citation
Goulding, Alison N; McKinney, Jennifer R; Crabtree Sokol, Diana; et al., "A Pregnant Patient Presents with Leakage of Vaginal Fluid in the Second Trimester" (2023). Faculty and Staff Publications. 4571.
https://digitalcommons.library.tmc.edu/baylor_docs/4571