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Gynaecology & Obstetrics General b4f53594

A woman presents with amenorrhea of 2 months duration; lower abdominal pain, facial pallor fainting and shock. Diagnosis is:

A
Ruptured ovarian cyst
B
Ruptured ectopic pregnancy
C
Threatened aboion
D
Septic aboion
High-Yield Explanation
The classic history of acute abdominal catastrophe with fainting attack & collapse, associated with features of intraabdominal haemorrhage in a woman of child bearing age points to a ceain diagnosis of acute rupture ectopic. The women in question fulfills most criteria including the characteristic fainting attack. Ref: Ultrasound in Obstetrics and Gynecology, Volume 1 By Eberhard Merz, F. Bahlmann, 2004, Page 73 ; Management of Common Problems in Obstetrics and Gynecology edited by T. Murphy Goodwin, Main N. Montoro, Laila Muderspach, Richard Paulson, Subir Roy, 2010, page 275. ; Textbook of Obstetrics By D.C.Dutta, 5th Edition, Page 198

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