A 26 y.o. woman complains of a mild bloody discharge from the vagina and pain in the lower abdomen. She has had the last menstruation 3,5 months ago. The pulse is 80 bpm. The blood pressure (BP) is 110/60 mm Hg and body temperature is 36,6°C. The abdomen is tender in the lower parts. The uterus is enlarged up to 12 weeks of gestation. What is your diagnosis?

Answer options

1. Inevitable abortion
2. Complete abortion
3. Incipient abortion
4. Incomplete abortion
5. Disfunctional bleeding

Explanation

26 y.o. woman complains of a mild bloody discharge from the vagina and pain in the lower abdomen. She has had the last menstruation 3,5 months ago. The pulse is 100bpm. The blood pressure (BP) is 110/60 mm Hg and body temperature is 36, 6oC. The abdomen is tender in the lower parts. The uterus is enlarged up to 12 weeks of gestation, conceptus products in the cervix. What is your diagnosis?Inevitable abortion is an early pregnancy with vaginal bleeding and dilatation of the cervix. Typically, the vaginal bleeding is worse than with threatened abortion, and more cramping is present. No tissue has passed yet.An incomplete abortion is a pregnancy that is associated with vaginal bleeding, dilatation of the cervical canal, and passage of products of conception. Usually, the cramps are intense, and the vaginal bleeding is heavy. Complete abortion is a completed miscarriage. Typically, a history of vaginal bleeding, abdominal pain, and passage of tissue exists. After the tissue passes, the patient notes that the pain subsides, and the vaginal bleeding significantly diminishes.