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Surgery Urethra & Penis 09173ce1

A 24-year-old woman has been unsuccessful becoming pregnant. She is admitted with abdominal pain; her blood pressure is 90/60 mm Hg, her pulse rate is 102 beats per minute (bpm), and her hematocrit (HCT) is 28%. Features of ectopic pregnancy include which of the following?

A
Elevated blood pressure on assuming an erect position
B
Pulsus paradoxus
C
Tenderness below the right subcostal margin (Murphy's sign)
D
Pain referred to the supraclavicular region
High-Yield Explanation
Free bleeding in the peritoneal cavity results in pain referred to the right supraclavicular region due to diaphragmatic irritation. Patients who present with abdominal pain and (usually) a history of missed menstruation should undergo a pregnancy test after hospital admission.

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