|   Post coital bleed (NBME) 
 
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| Author | 23 Posts |
chinda11 Forum Junior
Topics: 19 Posts: 48
| | 05/03/07 - 10:22 PM  
 
   
 
|   #1 |
25 YO F has painless post coital bleedfor 2 hours. SHe had her last menstrual periods 10 weeks ago. A pregnancy test is positive. there is some Dark blood in the vaginal canal. Her cervical os is reddened and friable. What is the diagnosis A Abortion of the blightlighted twin B Cervicitis C Ectopic pregnancy D Focal decidual necrosis E GTD F Incmplete abortion G Ovarian torsion H Ruptured ovarian cyst I threatened abortion
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| Aashi Forum Moderator

Topics: 113 Posts: 1,061
| | 05/04/07 - 06:01 AM  
 
   
 
|   #2 |
B Cervicitis
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| yasmeen Forum Guru
Topics: 70 Posts: 942
| | 05/10/07 - 12:50 PM  
 
   
 
|   #3 |
CERVICITIS
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| webjeee Forum Guru
Topics: 99 Posts: 350
| | 05/10/07 - 09:44 PM  
 
   
 
|   #4 |
how about A pregnancy test is positive
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| Justice Forum Fanatic

Topics: 117 Posts: 2,324
| | 05/10/07 - 10:54 PM  
 
   
 
|   #5 |
B Cervicitis
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| jehanzebali Forum Junior

Topics: 5 Posts: 83
| | 05/11/07 - 12:14 PM  
 
   
 
|   #6 |
B cervicitis.
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| usmle12 Forum Senior
Topics: 19 Posts: 194
| | 05/21/07 - 07:52 PM  
 
   
 
|   #7 |
COMON NOT CERVICITIS IT DOESNOT CAUSE THAT MUCH BLEEDING PLUS SHE IS PREGNANT SHE IS HAVING THREATENED ABORTION.....SHE MAY HAVE DISCHARGE IN CERVICITIS ALSO COITUS IS A RISK FACTOER FOR MULTIPLE ABORTION AND PT WITH SUCH HISTORY are asked to abstain from having sex
Edited by Aashi on 06/16/07 - 08:08 AM. Reason: Pls DONOT type in all CAPS.this is a forum rule!
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| ram3 Forum Guru
Topics: 48 Posts: 525
| | 05/28/07 - 07:43 PM  
 
   
 
|   #8 |
cervitis does not present with bleeding cervicitis presents with mucopurulent discharge chlamydia gonococcus trichomonas herpes simplex virus human papilloma virus this is an abortion come on guys this was easy this information is from first aid
Edited by Aashi on 06/16/07 - 08:05 AM. Reason: Pls give your opinion on what u think might be the answer, DONOT judge that all others are wrong!
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| jehanzebali Forum Junior

Topics: 5 Posts: 83
| | 06/13/07 - 03:44 PM  
 
   
 
|   #9 |
Q tells us nothin abt the cervix being open or closed but it does tell us that it is red and friable. A friable cervix is more prone to bleed esp with trauma.. coitus being the trauma here. Uworld clearly mentions that the ONLY reason for abstination from sex in threatened abortion is to save the parents from the guilt of pregnancy loss if it happens. At the time of estrogen excess vascularity of the cervix increases, so does the chance of bleed after minimal trauma hence, the increased chances of infection. This is the reason we see the association of cervicits with puberty, ocp use and at the time of pregnancy.
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| jehanzebali Forum Junior

Topics: 5 Posts: 83
| | 06/13/07 - 03:46 PM  
 
   
 
|   #10 |
i will still go with cervicitis as the answer.
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| jodin99 Forum Newbie
Topics: 1 Posts: 16
| | 06/14/07 - 04:28 AM  
 
   
 
|   #11 |
I don't think it is cervicitis cuz cervicitis ( as was mentined in previous posts) will come with discharge and even pain .... the cervical changes in pregnancy include the findings here ( to some extent ) and when the question say nothing about pain ... trust me ... u should considr the condition painless and here the cervix is absolutely painless which is very rare with a case of cervicitis. THIS IS A FIRST TRIMESTER BLEEDING .... ABORTION ...!!please reply
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| paasu Forum Newbie
Topics: 8 Posts: 33
| | 06/16/07 - 03:40 AM  
 
   
 
|   #12 |
pain before or after the hhge is not mentioned---the scenario is definitely an abortion regnancy + and 10 wks amenorrhoea (implantation bleeding ruled out). bleeding continuously for 2 hrs --so blood can be dark. ultimate ans: threatened abortion. do post the ans chinda11
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| yasmeen Forum Guru
Topics: 70 Posts: 942
| | 06/16/07 - 04:45 AM  
 
   
 
|   #13 |
ITSTHREATENED ABORTION WHICH IS PAINLESS BLEEDING AND CAN BE TRIGERRED BY COITUSIF PLACENTA IS LOW LYING.WITH THIS AMOUNT OF BLOOD CERVICITIS IS LESS LIKELY IN CERVICITIS there is only vaginal spotting
Edited by Aashi on 06/16/07 - 08:06 AM. Reason: Pls DONOT type in all CAPS
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| ashfaque Forum Newbie
Topics: 0 Posts: 142
| | 06/16/07 - 04:47 AM  
 
   
 
|   #14 |
THREATENED abortion
Edited by Aashi on 06/16/07 - 08:07 AM. Reason: Pls DONOT type in all CAPS.this is a forum rule!
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| arciniega Forum Senior

Topics: 1 Posts: 74
| | 07/05/07 - 12:33 PM  
 
   
 
|   #15 |
I also think is a threatened abortion too
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| fudoc_20 Forum Junior
Topics: 4 Posts: 48
| | 07/05/07 - 04:53 PM  
 
   
 
|   #16 |
yeah i agrreee with threatned abortion !..
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| khorshid Forum Guru
Topics: 32 Posts: 591
| | 07/06/07 - 08:14 AM  
 
   
 
|   #17 |
I agree with cervicitis, first of all cervicitis can cause bleeding and it is not necessarily accompanied by pain, secondly why would we have friable reddened os in threatened abortion?
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| fudoc_20 Forum Junior
Topics: 4 Posts: 48
| | 07/06/07 - 09:32 AM  
 
   
 
|   #18 |
i think khorshid it would be friable ..becuse of softening of the cervix due to hormones ..secreted during pregnancy and red becuse of the blood ! any way .hope .the answer is posted soon..
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| MAGY17 Forum Elite

Topics: 30 Posts: 234
| | 07/09/07 - 10:27 PM  
 
   
 
|   #19 |
the ans. is cervicitis CAN`T BE THREATENED ABORTION BECAUSE THE QUETIONS SAID PAINLESS bledding
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| mytime Go Marching in!

Topics: 40 Posts: 3,182
| | 12/14/07 - 03:20 PM  
 
   
 
|   #20 |
Ok any takers, now?????? I keep swinging! Found this while googling....hehehehe! Threatened abortion can be with or without pain. But I think it's cervicitis......they are just picking our brains. 
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| neuroblastoma Forum Guru

Topics: 106 Posts: 1,060
| | 12/16/07 - 06:34 PM  
 
   
 
|   #21 |
cervicitis
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| maoudoody Forum Guru

Topics: 32 Posts: 605
| | 12/16/07 - 07:45 PM  
 
   
 
|   #22 |
i will say cevicitis cause this is a contact bleeding and no lower abdominal pain of abortion or gtd
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| Vietnamese Forum Elite
Topics: 12 Posts: 285
| | 01/27/08 - 07:03 PM  
 
   
 
|   #23 |
I. Threatened abortion can have no pain. Cervicitis often results in bright red bleeding, not DARK blood in this case.
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