Question 54 · LEK · Miscarriage
Vaginal bleeding and hypogastric pain occurred in a 25-year-old patient in 8th week of gestation. Gynecological examination showed the thinning of the cervix, and cervical dilation with parts of the gestational sac visible in the internal orifice. Indicate the correct diagnosis and the management of choice:
- A. missed miscarriage, awaiting for the spontaneous miscarriage for 2 weeks.
- B. inevitable miscarriage, curettage of the uterine cavity with histopathological examination.
- C. threatened miscarriage, bed rest.
- D. anembryonic pregnancy, awaiting for the spontaneous miscarriage for 2 weeks.
- E. missed miscarriage, intravaginal therapy with progesterone.
Hint
An open internal os with products of conception visible means the process can no longer be stopped.
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