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Episode 1

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A 23 years old lady is brought to emergency department presenting with acute lower abdominal pain which is more marked on the left side. On examination she is severely pale, with a blood pressure of 82/40mmHg. She reports that, she has a 3 months history of amenorrhea. You decide to perform UPT which becomes positive. What will be the next step in management of this patient?
A 31 years old lady, G2P2L1 at GA of 15 weeks,presents with 2 days history of severe lower abdominal pain associated with per vaginal discharge. She reports to have passed an irregular tissue mixed with blood clots accompanied by PV bleeding 2 days earlier. On PV examination, her cervix was closed and the gloves stained with yellowish purulent discharge that was foul smelling. Her abdomen is tender on palpation. What will be the next step in treatment of this patient?
A 19 years old lady now P8L8 presents with PV bleeding 15 minutes after SVD which is associated with cold extremities and hypotension of 81/60mmHg. What is the likely cause of this problem?
A 22 years old lady who is G3P2L2 at GA of 33 weeks is brought to Maternity ward presenting with per vaginal bleeding which does not associate with abdominal pain. On examination, she is restless, pale with stable vital signs. Bleeding stops in one hour of her ward stay. What treatment will you give to this patient before discharging her home?
A 34 years old woman, G$P3L2 at GA of 39 weeks is brought to emergency department presenting with reduced fetal movements. On examination, she is clinically stable. PV examination is done and reveals a pulsating structure through external cervical os. What will be the next step in treatment of this patient?
error: Endelea kusoma😊
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