Abruptio placentae: The Daily PANCE Blueprint

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Abruptio placentae: The Daily PANCE Blueprint

Which of the following is the most common clinical presentation of abruptio placenta?

A) Painless vaginal bleeding in the third trimester
B) Severe abdominal pain with or without vaginal bleeding
C) Hypertension with rapid fetal movement
D) Polyhydramnios and maternal diabetes
E) Asymptomatic with incidental findings on ultrasound

Answer and topic summary

The answer is B) Severe abdominal pain with or without vaginal bleeding

Abruptio placentae, the premature separation of a normally implanted placenta, typically presents with severe abdominal pain, which may or may not be accompanied by vaginal bleeding. The pain is often described as sharp, continuous, and localized to the site of placental detachment. This condition is a serious obstetric emergency and requires immediate medical attention due to the risk of maternal and fetal complications, including hemorrhage and fetal distress.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ Blueprint Reproductive System ⇒ Complicated Pregnancy (PEARLS) ⇒ Abruptio placentae

Also covered as part of the Women's Health EOR and Emergency Medicine PAEA EOR topic list