Question 94 · LEK · Ectopic pregnancy
A 28-year-old woman who fainted again at home reported to the obstetrics and gynecology ER. On admission she presented pale, sweaty face, rapid heart rate, body temperature 36.6˚C. Despite inserting a contraceptive intrauterine device a year ago, she had her last period 8 weeks ago. Preliminary gynecological examination showed: slight vaginal bleeding, slightly enlarged uterus, painful resistance in the projection of the left uterine appendages and doughy tumor in the pouch of Douglas. These symptoms are indicative of diagnosis:
- A. ectopic pregnancy - tubular miscarriage.
- B. cervical pregnancy.
- C. correctly located pregnancy - incomplete miscarriage.
- D. acute adnexitis.
- E. ovarian cancer.
Hint
Combine amenorrhoea, fainting with signs of shock, unilateral adnexal tenderness and a doughy mass in the pouch of Douglas.
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