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サマリー
あらすじ・解説
A 34-year-old woman G1 P0 at 19 weeks gestation comes to your office for a regular prenatal visit. She reports that she's had some pelvic pressure and noted its clear vaginal discharge for several days. Yesterday she noticed a blood spot-on on tissue paper after wiping. She has no cramping or pelvic pain. Her vitals are stable. Fetal heart rate is 150 by Doppler ultrasound. Speculum exam shows amniotic membrane bulging at the vaginal Introits. Nitrazine paper does not turn blue on the application of the vaginal discharge. Speculum exam shows 2 cm dilated cervix, and amniotic membrane's bulging at the cervical introitus.
What is the most likely diagnosis of this patient? What is the appropriate management? What if we did something different? Why are the other MCQ choices wrong?
Hope this helps you be prepared for your patients and the boards!
Medical information contained in this podcast episode and series is not intended for medical advice. Seek help from your doctor for treatment and information.