Out Of Place

Female Reproductive System & Breast

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with an acute abdomen, not too long after being diagnosed with a \u0022complete miscarriage\u0022.\n\nNote that her preceding ultrasound scan showed an empty uterus, but her urine hCG test is still positive. While this might be due to the aftermath of a miscarriage, the possibility of an ectopic pregnancy should be given strong consideration.\n\nA transvaginal ultrasound scan should be the first investigation performed - and in her case shows a right sided adnexal mass, clinching the diagnosis. This is an ectopic pregnancy of the right fallopian tube which was missed in the previous ultrasound scan.\n\nSerum beta-hCG levels should be measured as a baseline - these will be of use in the further management.\n\nA chest x-ray is not i"}]}

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