frank100
Forum Guru
Topics: 48
Posts: 586
|
A 24 Y/O WOMAN HAS HAD PAINLESS VAGINAL POSTCOITAL BLEEDING FOR 2 HOURS. HER LAST MENSTRUAL PERIOD WAS 10 WEEKS AGO. A PREGNANCY TEST IS POSITIVE. THERE IS A SMALL AMOUNT OF DARK BLOOD IN THE VAGINAL CANAL. SHE HAS A REDDENED FRIABLE CERVICAL OS.
A) ABORTION OF A BLINGUED TWIN
B) CERVICITIS
C) ECTOPIC PREGNANCY
D) FOCAL DECIDUAL NECROSIS
E) GESTACIONAL TROFOBLASTIC DISEACE
F) INCOMPLETE ABORTION
G) OVARIAN TORCION
H) RUPTURED OVARIAN CYST
I) THREATENED ABORTION
|
| veens
Forum Junior
Topics: 4
Posts: 64
|
reddened friable os point towards cervicitis......but cant really rule out a threatened abortion,confused.
or is it gestational trophoblastic disease -painless bleeding,as both cervicitis & threatened abortion r associated with some degree of pain
|
| drhyd
Forum Senior
Topics: 7
Posts: 82
|
Is cervicitis painless
Is threatened abortion pain less?
|
| veens
Forum Junior
Topics: 4
Posts: 64
|
nope both r painful conditions....
|
| veens
Forum Junior
Topics: 4
Posts: 64
|
painless bleeding is the tricky part here.......
i was contemplating the options.
choriocarcinoma can present with profuse bleeding....nothing mentioned regarding parity of pt here.
all the other options have associated pain...
plz correct me if what i think is wrong
|
| drhyd
Forum Senior
Topics: 7
Posts: 82
|
Is cervicitis painfull. diffrentiate cervicitis and pid is cervical motion tenderness.
Is threatened abortion pain less?
gestational trophoblastic disease is my doubt
|
| nihal
Forum Junior
Topics: 0
Posts: 10
|
threatened abortion(painful/painless bleeding)
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
the problem with threatened abortion is that in the question they do not tell us that there is still a viable gestation. (I need this for diangnosis).
And if they donīt write it down: It never happened...
|
| drdiv
Forum Junior
Topics: 16
Posts: 63
|
i think it is cervicitis
why ,there is reddened friable cervicalos in all other cases like abortions?
|
| humbty
Forum Elite
Topics: 24
Posts: 135
|
I took I. But was also missing that the USG of the uterus.
Is it common that cervicitis bleeds for 2 hours?
|
| Dragonfly
Forum Elite
Topics: 25
Posts: 333
|
I. pregnancy test is +. cervicitis per se doesn`t come with + b-HCG. she is in her 1st trimester.
___________________
|
|
| |
| | | | | | | | | | | |
