{"ops":[{"insert":"A 32 year old pregnant lady presents with vaginal bleeding for 1 day, which was associated with intermittent lower abdominal pain. Her period of amenorrhea is 9 weeks.\n\nThis is her first pregnancy and her medical history is unremarkable.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-G-001_en.png"}},{"insert":"\n"}]}
2
Investigate
Pelvic Ultrasound
{"ops":[{"insert":"An intra-uterine gestational sac with a yolk sac and fetal pole is noted. The crown rump length is compatible with the age of gestation. Fetal cardiac activity is absent. No adnexal masses or free pelvic fluid is seen.\n"}]}
Serum beta-hCG
{"ops":[{"insert":"The beta-hCG level is 51,000 mIU\/ml.\n"}]}