MDM – 1st Trimester Bleeding

MDM

This pregnant patient presents with vaginal bleeding in the first trimester. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Patient is HDS and without a history of coagulopathy or infectious symptoms. Doubt alternate acute emergent pathology.

Plan: bHCG, +/- basic labs, type and screen, TVUS, reassess

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