Review Question - QID 207464

A 25-year-old obese woman with bipolar disorder and schizophrenia presents to the emergency room stating that she is pregnant. She says that she has been pregnant since she was 20 years old and is expecting a baby now that she is breathing much harder and feeling more faint. Her hospital medical record shows multiple negative pregnancy tests over the past five years, most recently 5 months ago. Her temperature is 98°F (37°C), blood pressure is 100/60 mmHg, pulse is 100/min, respirations are 28/min, and oxygen saturation is 85% on room air. Her fingerstick glucose is 100 mg/dL. She has a large abdominal pannus which is soft and nontender. Her legs are both edematous, but the left calf is tender to palpation. Oxygen is provided via nasal cannula. Psychiatry is consulted for possible pseudocyesis.
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