SAQ 548 – O+G – brisk vaginal bleeding with shock

A 22-year-old woman presents late on a Friday evening with brisk PV bleeding and abdominal pain. Her periods are very irregular and she is uncertain of her last menstrual period.

List four (4) differential diagnoses and provide two supportive history or examination features for each.

(Marked out of 15.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Differential diagnosis</th> <th>Supportive history or examination features</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> <tr> <td>4.</td> <td></td> </tr> </tbody> </table> <p>

/ 15

List and justify three (3) key investigations.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Rationale</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Bleeding continues and her BP falls to 75/40 mmHg with HR 120/min. State five (5) escalating treatment steps.

(Marked out of 5.0)

/ 5

Total Score: 0 / 26

Percentage: 0%