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    E.J. Pelayo
    A 19-year-old woman who is 7 weeks pregnant presents with vaginal spotting. Her examination reveals a cervix that is closed and nontender, a 4 week sized uterus with no adnexal tenderness, and an empty uterus and no adnexal masses on ultrasound. Her hCG level is elevated, consistent with early pregnancy. The summary suggests she is experiencing an ectopic pregnancy.

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    E.J. Pelayo
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    A 19-year-old woman who is 7 weeks pregnant presents with vaginal spotting. Her examination reveals a cervix that is closed and nontender, a 4 week sized uterus with no adnexal tenderness, and an empty uterus and no adnexal masses on ultrasound. Her hCG level is elevated, consistent with early pregnancy. The summary suggests she is experiencing an ectopic pregnancy.

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    A 19-year-old woman who is 7 weeks pregnant presents with vaginal spotting. Her examination reveals a cervix that is closed and nontender, a 4 week sized uterus with no adnexal tenderness, and an empty uterus and no adnexal masses on ultrasound. Her hCG level is elevated, consistent with early pregnancy. The summary suggests she is experiencing an ectopic pregnancy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    68 views1 page

    Extra Cases

    Uploaded by

    E.J. Pelayo
    A 19-year-old woman who is 7 weeks pregnant presents with vaginal spotting. Her examination reveals a cervix that is closed and nontender, a 4 week sized uterus with no adnexal tenderness, and an empty uterus and no adnexal masses on ultrasound. Her hCG level is elevated, consistent with early pregnancy. The summary suggests she is experiencing an ectopic pregnancy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    CASE # 5

    ECTOPIC PREGNANCY

    A 19-year-old G2P0 woman at 7 weeks gestation by last menstrual period complains of vaginal spotting.
    She denies the passage of tissue per vagina, any trauma, or recent intercourse. Her past medical history
    is significant for a pelvic infection approximately 3 years ago. She had used an oral contraceptive agent 1
    year previously. Her appetite is normal. On examination her blood pressure is 100/60mmHg, her heart
    rate is 90 beats per minute (bpm) and temperature is afebrile. The abdomen is nontender with
    normoactive bowel sounds. On pelvic examination, the external genitals are normal. The cervix is closed
    and nontender. The uterus is 4 week's size and no adnexal tenderness is noted. The quantitative beta
    human chorionic gonadotropin is 2300 mIU/mL. A transvaginal sonogram reveals an empty uterus and
    no adnexal masses.

    CASE # 6

    PLACENTA PREVIA

    A 30-year-old G5P4 woman at 32 weeks gestation complains of significant bright red vaginal bleeding.
    She denies uterine contractions, leakage of fluid or trauma. The patient states that 4 weeks previously,
    after she had engaged in sexual intercourse, she experienced some vaginal spotting. On examination,
    her blood pressure is 110/60mmHG, Heart rate is 80 beats per minutes and temperature is 37.2C. The
    heart and lung examinations are normal. The abdomen is soft and uterus nontender. Fetal heart tones
    are in the range of 140-150bpm.

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