Teaching Case #01

27 year old female with no past medical history presents with vaginal bleeding and abdominal cramping.The patient states that she has been having lower abdominal cramping for the past two days but began having vaginal spotting this morning.She is now passing solid, clot-like material. The patient confirms that she had a positive home pregnancy test two weeks ago but has not followed up with her obstetrician. This is the patient’s first pregnancy.
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