Published in IJCP
October 2024
Pictorial CME
What is the Diagnosis?
October 24, 2024 |
A 21-year-old woman with 37 weeks
2 days pregnancy presents with loss of fetal movement and pain in abdomen
since 3 days. On general examination: patient was of average built with
marked pallor, pulse 120/min, and blood pressure 100/60 mmHg. Respiratory and
cardiovascular system did not reveal any abnormality. Per abdominal
examination: heights of uterus 34 weeks, tenderness present, lower pole empty,
fetal heart sound were absent. Per vaginum examination: OS closed, cervix long
uneffaced. Investigation: hemoglobin 5 g/dL, blood group AB –ve, bleeding
time 2 minutes 15 seconds, and clotting time 3 minutes.
a) Abruptio placentae
b) Ruptured uterus
c) Fetal death
d) Both (b) and (c)
See Answer in the Next Month's Issue!
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