Gynaecology & Obstetrics
Aboions, Spontaneous & Induced Emergency Contraception (Hey,whats the hurry !)
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A 25 year old primigravida at 10 weeks pregnancy presents with abdominal pain and bleeding per vaginum. BP is 118/74 mm Hg & on speculum examination, bleeding is found to come from Os. On Per Vaginum, uterus is of 10 weeks size, soft and Os is open 1.5cms. diagnosis?
High-Yield Explanation
The history of abdominal pain and bleeding per vaginum in a pregnant female is suggestive of Aboion O/E - size of Uterus = POG = 10weeks and Os is open. All these points indicate towards Inevitable aboion presentation P/V examination USG Threatened aboion pain, bleeding os closed normal intrauterine pregnancy Inevitable aboion pain, bleeding os open intrauterine pregnancy with dilated cervix Incomplete aboion pain, bleeding, passage of mass os open/ closed retained products of conception Complete aboion passage of mass os closed empty uterus Missed aboion no complaints os closed absent cardiac activity