DrVirgo
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15. A 30 year old G11/P6 at 32 weeks gestation has severe abdominal pain. She admits to smoking crack cocaine 1 hour earlier. She denies vaginal bleeding or leakage of fluid. External fetal monitoring reveals contractions every 2 minutes. On examination, her temp is 37.3 C (99.2F), BP: 80/50mmHg, pulse: 110/min. Which of the following is the most likely diagnosis?
A. False Labor
B. Molar Pregnancy
C. Placental abruption
D. Premature labor
E. Ruptured uterus
EXPLAIN AND DISCUSS Please! 
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| ashfaque
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abrubtion concealed hemorrhage --shock
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| yasmeen
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C
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| DrVirgo
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Agree... b/c BP low, pulse high,
and it can't be false labor because there is no leakage of fluid, etc...
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| goodyear
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Risk factor in this case: maternal use of cocaine
other risk factors revious abruption
HTN
maternal trauma
PROM
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