Question 133 · LEK · Ectopic pregnancy
A 27-year-old woman with severe abdominal pain was admitted to the ER. She had fainted at home. She complains of the pain of the whole abdomen, lasting for 2 hours. The pain had acute onset in the hypogastric area. She can’t remember the date of her last menstruation period, but she confirms no periods for more than a month. On palpation increase muscle tone and tenderness are observed. Other findings include pale skin, BP 80/60 mmHg, HR 120/min. Which condition should be excluded in the first place?
- A. rupture of an ectopic pregnancy.
- B. ovulation pain.
- C. appendicitis.
- D. irritable bowel syndrome.
- E. salpingitis.
Hint
A young woman with a missed period, sudden lower abdominal pain, fainting and shock: think of the most dangerous gynecological source of hemoperitoneum.
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