A 19-year-old woman with 13 weeks of gestation visits your clinic with a complaint of vaginal bleeding. You go through her past medical records and find out that she has no medical or gynecological history and her previous delivery was vaginal without any complications (38 weeks gestation). The woman further informs that there has been a smelly watery discharge along with vaginal bleeding and she has been having a fever for a couple of days.
Upon asking further questions, the woman reports that there has been abdominal pain and reduction in appetite, loose stools as well as vomiting. She looked for some symptoms on the internet and suspects that she has either gastroenteritis or fibroids and has been concerned about the fetus. Physical Examination: Temperature: 38.1 o C Pulse: 96/minute Blood Pressure: 110/68 mm of Hg You notice that the physical appearance of the…
