Question

A 24-year-old G1P0 patient at 14 weeks presents with vaginal bleeding and abdominal cramping. On examination her vital signs are: blood pressure 120/75 mmHg, pulse rate 74/minute, temperature 98.4 degrees F taken orally, respiratory rate 18/minute, and oxygen saturation 99% on room air. On pelvic examination, there is a small amount of blood in the vagina, the cervical os is open, and there is no cervical or adnexal tenderness noted. On pelvic ultrasound, an intrauterine gestational sac with a yolk sac is seen. What is her diagnosis?

A. Complete abortion
B. Threatened abortion
C. Missed abortion
D. Inevitable abortion
E. Septic abortion

Answer 1

A 24-year-old G1P0 patient at 14 weeks with vaginal bleeding and cramping is diagnosed with a threatened abortion. This refers to bleeding and/or pain in early pregnancy with a closed cervix and a live fetus. The condition does not always result in a loss of pregnancy.

Step-by-step explanation:

The patient's presentation, including vaginal bleeding, abdominal cramping, an open cervical os, and the presence of an intrauterine gestational sac with a yolk sac on ultrasound, is consistent with a diagnosis of threatened abortion. A threatened abortion refers to vaginal bleeding and/or abdominal pain during early pregnancy, before the 20th week of gestation, when the cervix is closed and the fetus is still alive. It does not necessarily mean that a pregnancy loss will occur, as many cases resolve on their own without any negative outcome.

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