Exam questionKROK 2Medicine ยท 2013
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
- Curettage of the uterus
- Expectant management, surveillance
- Hysterectomy
- Pregnancy maintenance therapy
- 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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