A 19-year-old woman arrives by ambulance with excruciating abdominal pain and PV bleeding. She appears pale and diaphoretic at triage, and ambulance officers report a syncopal episode at home.
Vital signs are temperature 38.7 degrees C, HR 120/min, BP 88/45, RR 28/min and SpO2 97% on room air.
Her partner later states she is nine weeks pregnant and that a recent ultrasound demonstrated a single intrauterine pregnancy. She remains tachycardic and febrile despite resuscitation and is taken to theatre for urgent dilatation and curettage.
State four (4) immediate management priorities with suitable targeted endpoints.
(Marked out of 4.0)
/ 4
Other than beta-hCG, list and justify three (3) other investigations you would prioritise.
(Marked out of 6.0)
/ 6
State the most likely unifying diagnosis.
(Marked out of 1.0)
/ 1
List three (3) complications of dilatation and curettage in this context.
(Marked out of 3.0)
/ 3
Total Score: 0 / 14
Percentage: 0%
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