Q:

A 28 year old woman 8 weeks GA (gestational age) had PID (pelvic inflammatory disease) treated previously and now comes with vaginal bleeding, rigid abdomen, BP 80/50mmHg, pulse 140bpm. What is the most probable diagnosis?

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A 28 year old woman 8 weeks GA (gestational age) had PID (pelvic inflammatory disease) treated previously and now comes with vaginal bleeding, rigid abdomen, BP 80/50mmHg, pulse 140bpm. What is the most probable diagnosis?


  1. Threatened abortion
  2. Miscarriage
  3. Missed abortion
  4. Tubal pregnancy
  5. Inevitable abortion

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The key is D. Tubal pregnancy. [Previous PUD is a risk factor for tubal pregnancy. Presented case is a case of ruptured ectopic pregnancy as there is vaginal bleeding, rigid abdomen and shock].

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