Abortion: The Daily PANCE Blueprint

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Abortion: The Daily PANCE Blueprint

A 22-year-old female presents to the ER with crampy lower abdominal pain and vaginal bleeding for the past 2 hours. She missed her last menstrual cycle. Physical exam is remarkable for an open cervical os. No products of conception are observed. Which of the following is the most likely diagnosis?

A. Threatened abortion
B. Incomplete abortion
C. Missed abortion
D. Septic abortion
E. Inevitable abortion

Answer and topic summary

The answer is E. Inevitable abortion

The patient most likely has a spontaneous abortion, which is a nonviable intrauterine pregnancy up to 20 weeks gestation. The most common cause of miscarriages in the first trimester is chromosomal abnormalities. There are many different types of spontaneous abortions.

The patient specifically has an inevitable abortion, which typically presents with vaginal bleeding, crampy abdominal pain, and an open external cervical os without expulsion of products of conception. The fetus is not viable.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Reproductive System ⇒ Complicated Pregnancy ⇒ Abortion

Also covered as part of the Women's Health EOR topic list