A 9-week pregnant woman presents with mild vaginal bleeding and lower abdominal cramping. She has no shoulder tip pain or syncope. On examination, cer...

Question

A 9-week pregnant woman presents with mild vaginal bleeding and lower abdominal cramping. She has no shoulder tip pain or syncope. On examination, cervix is closed and she is haemodynamically stable. What is the most appropriate next investigation?

Accepted Answer

Transvaginal ultrasound to assess location and viability of the pregnancy

Answer

Serum CA-125 level

Answer

Abdominal X-ray

Answer

Immediate diagnostic laparoscopy

Answer

No investigation is needed; reassure and discharge

au-amc MCQ (SBA): First-trimester bleeding

A 9-week pregnant woman presents with mild vaginal bleeding and lower abdominal cramping. She has no shoulder tip pain or syncope. On examination, cervix is closed and she is haemodynamically stable. What is the most appropriate next investigation?