sarika
Forum Guru
Topics: 195
Posts: 1,200
|
A 19-year-old primigravid woman is brought to
the emergency
department because of a 4-hour history of heavy
vaginal bleeding. She has
vomited daily for the past month. Her last menstrual
period was 15
weeks ago. She has not received prenatal care. She
takes no medications.
Her temperature is 37 C (98.6 F), blood pressure is
140/90 mm Hg, pulse
is 80/min, and respirations are 20/min. Abdominal
examination shows a
uterus consistent in size with a 20-week gestation
with no adnexal
masses or tenderness. There is pedal edema. A serum
pregnancy test is
positive. Urinalysis shows 1+ protein. Which of the
following is the
most likely cause of this patient's vaginal bleeding?
A
) Abruptio placentae
B
) Ectopic pregnancy
C
) Hydatidiform mole
D
) Hyperthyroidism
E
) Preeclampsia
|
| k2mle
Forum Newbie
Topics: 0
Posts: 15
|
seems to be C....!!!!
|
| webjeee
Forum Guru
Topics: 99
Posts: 350
|
without bhCG levels, it's hard to differentiate.
why not E?
|
| sarika
Forum Guru
Topics: 195
Posts: 1,200
|
her LMP was 15 weeks ago but her uterus size is 20th week of gestation (large for dates)...also Hydatidiform mole is a common cause of early HTN . Secondly by definition, preeclampsia is hypertension and proteinuria after 20th weeks of gestation
|
| webjeee
Forum Guru
Topics: 99
Posts: 350
|
Thanks, sarika.
|
|
| |
| | | | | |
