Vaginal Bleeding 443406.A 25-year-old G1P0 presents to the ED with vaginal bleeding. She
recently discovered that she was pregnant and has yet to be medically eval-
uated. Prior to presentation, the patient was in her usual state of good health
with no history of trauma or any other symptoms. She reports using two
absorbent pads an hour for the bleeding and does not notice passing fetal
tissue. On physical examination, her cervical os is open. Which of the following
is the most appropriate diagnosis?
a. Threatened abortion
b. Complete abortion
c. Inevitable abortion
d. Incomplete abortion
e. Missed abortion
407.A 27-year-old G2P1001 presents to the ED with vaginal spotting.
She reports occasional abdominal cramping associated with the bleeding,
without fetal product passage, approximately 6 hours prior to presentation.
She is currently in her first trimester and reports that her previous pregnancy
was uncomplicated. She has been compliant with her prenatal vitamins
and does not report any other medications or drug use. Her vitals are within
normal limits and her physical examination is significant for a closed cervical
os. Which of the following is the most likely diagnosis?
a. Placenta previa
b. Inevitable abortion
c. Complete abortion
d. Septic abortion
e. Threatened abortion