Question
A patient, who is 2 months pregnant, reports to a hospital with complaints of increased vaginal bleeding and pain in the lower abdomen. Internal examination reveals dilated internal os of the cervix and products of conception are felt through it. What is her likely clinical diagnosis?
| A. |
Threatened abortion
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| B. |
Inevitable abortion
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| C. |
Septic abortion
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| D. |
Incomplete abortion
|
Show Answer
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Correct Answer » B
Explanation
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|
This patient presents with the classical triad suggestive of abortion:
- Vaginal bleeding
- Lower abdominal pain
- Cervical changes
The key clinical finding here is a dilated internal os with products of conception felt through it, indicating that expulsion is unavoidable.
Inevitable abortion is characterized by:
- Vaginal bleeding
- Abdominal pain
- Dilated cervix (open internal os)
- Products of conception may be present but not yet expelled
Since the cervix is open and the process cannot be stopped, the abortion is termed inevitable.
Explanation of Why Other Options Are Incorrect
Option A: Threatened abortion
- Bleeding may be present
- Cervix is closed
- No passage of products of conception
- Pregnancy may still continue
Not matching because cervix is open in the question
Option C: Septic abortion
- Features of infection such as fever, foul-smelling discharge, tachycardia
- May occur after unsafe abortion
Option D: Incomplete abortion
- Some products of conception have already been expelled
- Remaining tissue still inside uterus
- Cervix is open
Key difference: history of partial expulsion, which is not given here
