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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Ectopic Pregnancy
John R. Crochet, Lori A. Bastian, Monique V. Chireau

Sections:  Clinical Scenarios, Why Is This Question Important?, Methods, Results, Discussion, Scenario Resolution, Conclusions, References

Topics Discussed: ectopic pregnancy

Excerpt: "A 21-year-old college student with a remote history of 1 prior miscarriage presents with 2 days of vaginal spotting and lower abdominal discomfort. A urine pregnancy test at home showed a positive result. Her last menstrual period was approximately 5 weeks ago, and she has no risk factors for ectopic pregnancy (ie, history of ectopic pregnancy or pelvic infection, current intrauterine contraceptive device use, prior tubal or pelvic surgery). Her vital signs are normal, and a physical examination is unremarkable. There is no sign of either intrauterine pregnancy or ectopic pregnancy on transvaginal sonography, and a serum human chorionic gonadotropin (hCG) level is noted to be 1748 mIU/mL. ..."
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