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Gynaecology & Obstetrics Diagnosis in obstetrics 9b747639

A patient present for her first antenatal visit after performing a home pregnancy test and gives a last menstrual period of about 8 weeks ago. She says she is not entirely sure of her dates, however because she has a long history of irregular menses. Which of the following is the most accurate way of dating the pregnancy?

A
Determination of uterine size on pelvic examination
B
Quantitative serum hCG levels
C
Crown rump length on transabdominal or transvaginal ultrasonography
D
Determination of progesterone level along with serum hCG level
High-Yield Explanation
Dating of pregnancy crown rump length is measured from the top of the head to the bottom of the buttocks excluding limbs CRL between 9 and 11 weeks is the most accurate method of dating CRL in cm + 6.5 gives a rough estimate of gestational age in weeks refer pgno:476 Sheila textbook of obstetrics 2 nd edition

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