Exam questionKROK 2Medicine · 2020
A 26-year-old woman was hospitalized into the gynecological department with complaints of body temperature up to 38.2°C, fever, general weakness, and dirty-red blood discharge from her genital tracts. She is hemodynamically stable. Two days ago she underwent a medical abortion on the 8th week of pregnancy. Ultrasound detects the remains of the fertilized egg in her uterine cavity. What are the tactics of the patient management in this case?
Answer options
- Laparotomy. Extirpation of the uterus and tubes. Abdominal drainage
- Laparotomy. Supravaginal uterine amputation. Abdominal drainage
- Revision of the uterine cavity with vacuum aspirator. Antibiotic therapy
- Uterine cavity treatment with antibiotic solutions
- Pipelle biopsy
Correct answer
Revision of the uterine cavity with vacuum aspirator. Antibiotic therapy
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