Bleeding and fainting at 11 weeks

Instructions

You are an intern in the emergency department. Your next patient is Kavya Singh, 28, who is 11 weeks pregnant and came in with heavy vaginal bleeding; she fainted in the ED toilet 10 minutes ago and her partner Rohan is with her.

1. 1

   Assess and manage the patient using an A to E approach

2. 2

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• The examiner acts as the nurse and carries out your instructions; describe procedures rather than performing them
• You do not need to take a full history or summarise your findings