Obstetrics & Gynecology

Last updated on: January 24th, 2022

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

In The Spot


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A 33 year old woman presents at 8 weeks of her first gestation complaining of cramping lower abdominal pain for 2 days, in a background of vague pelvic pain for the last week.

She received in-vitro fertilization (IVF) to become pregnant, following 3 years of primary infertility attributed to asthenozoospermia in her husband. A total of 4 embryos were implanted.

A transvaginal ultrasound scan performed at 6 weeks of gestation revealed a single live intrauterine pregnancy, while a serum beta-hCG assay was found to be 10,200 mIU/ml

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