[Solved]: Q1 Scenario 2: A35-year-old woman at 8…

Q1 Scenario 2: A35-year-old woman at 8 weeks’gestation complains of crampy lower abdominal pain and vaginal bleeding. She states that the pain was intense last night, and that something that looked like liver passed per vagina. After that, the pain subsided tremendously as did the vaginal bleeding. Her blood pressure (BP) is 130/80 mm Hg, heart rate (HR) is 90 beats per minute, and temperature is 98°F (36.6°C). Her abdominal examination is unremarkable. The pelvic examination reveals normal external female genitalia. The cervix is closed and nontender. ” What is the most likely diagnosis? » What is your next step in management? • HCG that day is 1500 lU/L, you send her back. • HCG follow-up every 48 hours are: 700, 500, 300, 120, 70. • The patient have a fever, 38.4 °C, mild uterine tenderness, empty uterus on ultrasound examination • What’s the mostly likely diagnosis and what’s the management?