Vaginal bleeding

A 24-year-old woman with seven weeks of amenorrhoea and a positive home pregnancy test presents with two days of left-sided lower abdominal pain and light vagin…

Pre-internship · middle twist

A couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…

Clinical rotations · middle twist

A 29-year-old woman, gravida 2 para 1, is 13 weeks and 2 days pregnant by a dating scan at 8 weeks. She has had six hours of moderate vaginal bleeding and cramp…

Pre-internship · middle twist

A 36-year-old woman at 8 weeks of gestation has vaginal bleeding and intermittent lower abdominal cramping. Transvaginal ultrasonography shows an intrauterine g…

Clinical rotations · middle twist

A 29-year-old woman presents at 7 weeks of pregnancy with increasing right lower abdominal pain and light vaginal bleeding. She conceived after in-vitro fertili…

Clinical rotations · common

A 25-year-old woman had a levonorgestrel-releasing intrauterine device inserted six months ago. She now has a missed period, lower abdominal pain worse on the r…

Clinical rotations · common

A 47-year-old woman has developed bleeding between otherwise irregular periods over the past four months. She has a body mass index of 36 kg/m² and polycystic o…

Clinical rotations · middle twist

A 31-year-old woman at 9 weeks of pregnancy presents with vaginal bleeding and cramping after passing several clots. Her pulse is 88 beats/minute, blood pressur…

Clinical rotations · middle twist

A 34-year-old woman is reviewed after treatment with single-dose intramuscular methotrexate for a confirmed, unruptured tubal ectopic pregnancy. She remains wel…

Clinical rotations · middle twist

A 27-year-old woman with a desired pregnancy presents at 8 weeks with mild vaginal bleeding but no pain. Transvaginal ultrasonography shows an intrauterine gest…

Clinical rotations · middle twist

A 29-year-old woman has 6 weeks of amenorrhoea and two days of increasing right iliac fossa pain. Transvaginal ultrasonography shows a 30-mm right tubal gestati…

Clinical rotations · middle twist

A 32-year-old woman presents at 7 weeks of pregnancy with left lower abdominal pain and light vaginal bleeding. The pregnancy followed in-vitro fertilisation, a…

Clinical rotations · common

A 58-year-old woman presents after a single episode of light vaginal bleeding one week ago. Her last menstrual period was at age 51 and she has never used menop…

Clinical rotations · middle twist

A 31-year-old woman presents with two days of right iliac fossa pain and light vaginal spotting. Her last menstrual period was six weeks ago and a home pregnanc…

Clinical rotations · middle twist