A 32-year-old woman arrives as ESI 2 with lower abdominal pain and vaginal bleeding. BP 92/58, HR 122, urine pregnancy test is positive, and bedside

Question

A 32-year-old woman arrives as ESI 2 with lower abdominal pain and vaginal bleeding. BP 92/58, HR 122, urine pregnancy test is positive, and bedside ultrasound shows free intraperitoneal fluid with no intrauterine pregnancy. Which of the following is the most likely diagnosis?

Accepted Answer

Ruptured ectopic pregnancy

Answer

Pelvic inflammatory disease

Answer

Appendicitis

Answer

Threatened miscarriage

Answer

Ovarian hyperstimulation syndrome

Ruptured ectopic pregnancy — ABEM Board MCQ

A 32-year-old woman arrives as ESI 2 with lower abdominal pain and vaginal bleeding. BP 92/58, HR 122, urine pregnancy test is positive, and bedside ultrasound shows free intraperitoneal fluid with no intrauterine pregnancy. Which of the following is the most likely diagnosis?