A 24 year old woman has 8 weeks amenorrhea, right sided pelvic pain and vaginal bleeding. She is apyrexial. Peritonism is elicited in the RIF. Vaginal exam reveals right sided cervical excitation. What is the most probable diagnosis?

The key is A. Ectopic pregnancy. [Salpingitis, Endometriosis, overian torsions do not associated with

amenorrhoea. In ovarian tumour three main features are i) increased abdominal size and persistent

bloating (not bloating that comes and goes) ii) persistent pelvic and abdominal pain iii) difficulty eating

and feeling full quickly, or feeling nauseous. Patient with pelvic pain and vaginal bleeding, peritonism

and cervical exitation obviously points towards Ectopic pregnancy].