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Exam questionKROK 2Medicine ยท 2012

A 10-week pregnant woman was admitted to a hospital for recurrent pain in the lower abdomen, bloody discharges from the genital tracts. The problems turned up after ARVI. The woman was registered for antenatal care. Speculum examination revealed cyanosis of vaginal mucosa, clean cervix, open cervical canal discharging blood and blood clots; the lower pole of the gestational sac was visible. What tactics should be chosen?

Answer options

  1. Expectant management, surveillance
  2. Pregnancy maintenance therapy
  3. Curettage of the uterus
  4. Hysterectomy
  5. Antiviral therapy
Correct answer

Curettage of the uterus

Explanation

The women already underwent an incomplete spontaneous abortion due to these signs- bloody discharges from the genital tracts,- open cervical canal discharging blood and blood clots

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