First and Second Trimester Emergencies
Rule out ectopic gestation in any woman in the reproductive age group, presenting with abdominal pain and/or vaginal bleeding or any atypical symptom.
There is no symptom or sign that can differentiate between ruptured and unruptured ectopic gestation in the ED.
The ‘classic triad’ of amenorrhoea, vaginal bleeding and abdominal pain seen in ruptured ectopic pregnancy can be as low as 56 % .
Hyperemesis gravidarum (HG) is a diagnosis of exclusion and based on clinical presentation. Ensure that other possibilities for recurrent vomiting in pregnancy are ruled out, especially if onset is greater than 10 weeks.
KeywordsEctopic Pregnancy Vaginal Bleeding Adnexal Mass Hyperemesis Gravidarum Placental Abruption
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