USMLE Forum Archives - USMLE Step 2 CK - vaginal bleeding
vaginal bleeding
bingousmle - 05-23-10 14:25
A 28-year-old woman presents with severe abdominal pain with distention and vaginal bleeding. She reports being pregnant with a due date in approximately 4 weeks. Her pain came on suddenly, shortly before arrival to the ED. Upon further history-taking, the patient reports recent cocaine use. What condition needs to be considered in this patient?
a. Uterine rupture
b. Normal contractions
c. Placenta accreta
d. Vasa previa
e. Ruptured ovarian cyst
bingousmle - 05-23-10 14:25
A 28-year-old woman presents with severe abdominal pain with distention and vaginal bleeding. She reports being pregnant with a due date in approximately 4 weeks. Her pain came on suddenly, shortly before arrival to the ED. Upon further history-taking, the patient reports recent cocaine use. What condition needs to be considered in this patient?
a. Uterine rupture
b. Normal contractions
c. Placenta accreta
d. Vasa previa
e. Ruptured ovarian cyst
The correct answer and explanation will be available after you answer.
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#2
Re: vaginal bleeding babbu5508 - 05-24-10 01:16 My answer is: b.
Cocaine use in pregnant women can cause spontaneous abortion (38 percent); placental abruption (2 to 15 percent); placenta previa (2 percent); and an increased incidence of stillbirths, as the result of placental abruption
#4
Re: vaginal bleeding babbu5508 - 05-24-10 02:25 The use of cocaine in pregnancy can result in systemic and focal vasoconstriction and abnormal uterine contractions forceful enough to cause the complete rupture of a gravid uterus
#5
Re: vaginal bleeding
bingousmle - 05-24-10 02:34 
posted by babbu5508 on 05-24-10 02:25
The use of cocaine in pregnancy can result in systemic and focal vasoconstriction and abnormal uterine contractions forceful enough to cause the complete rupture of a gravid uterus
The use of cocaine in pregnancy can result in systemic and focal vasoconstriction and abnormal uterine contractions forceful enough to cause the complete rupture of a gravid uterus
precisely... thats the idea...
#9
Re: vaginal bleeding fugeran - 05-24-10 16:12 My answer is: a.
cocaine causes a smooth ms contraction. the clinical setup more looks rupture than normal contraction
#11
Re: vaginal bleeding mtniharika - 05-25-10 16:16 My answer is: a.
Excessive uterine stimulation can cause rupture, and this has occurred with alkaloidal cocaine abuse...............
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