A lady comes with a missing IUCD thread. Her LMP was 2 weeks ago. What is the single most appropriate next step in management?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:18| Question number:85
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Medicine
The key is E. Vaginal exam. [LOST THREAD: First confirm the thread is not in position by vaginal examination. If not present ultrasound should be arranged to locate the device.
If ultrasound does not locate the device and there is no definite history of expulsion then abdominal X- ray should be performed to look for an extrauterine device.
Expulsion should not otherwise be assumed.
Hysteroscopy can be helpful if ultrasound is equivocal.
Surgical retrieval of an extrauterine device is advised].
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