A patient comes with 6 weeks amenorrhoea and features of shock-
Ans. is 'a' i.e., Ectopic pregnancy Clinical features of ectopic pregnancyo Classical triad is abdominal pain (100%), amenorrhea (75%) & vaginal bleeding (70%).o Amenorrhea usually of short period (6-8 weeks)o Abdominal pain it is acute, agonising & colicky. Located in lower abdomen: unilateral, bilateral or may be generalised.Sometimes the pain may also be referred to shoulder,o Vaginal bleeding may be slight & continuous,o Vomiting & fainting attack.Signso General look (diagnostic)- Patient is quite & conscious, perspires & looks blanched,o Pallor - Severe & proportionate to the amount of internal haemorrhageo Features of shock - Rapid & feeble pulse, hypotension cold & clammy extremities.o Abdominal examination (lower abdomen) - tense, tumid, tender. No mass felt. Shifting dullness present. Muscle guard is usually absento Pelvic examination - Less informative. Vaginal mucosa is blanched white uterus may b normal in size or bulky. Extreme tenderness on fornix palpation or on cervical movements. The uterus floats as if in the water.
Ectopic pregnancy
H. Mole
Twin pregnancy
None of the above
Tubal Pregnancy