A 25-year-old woman has had painless vaginal postcoital bleeding for 2 hours. Her last menstrual period was 10 weeks ago. A pregnancy test is positive. There is a small amount of dark blood in the vaginal canal. She has a reddened, friable cervical os.
what is the diagnosis?
A ) Abortion of a blighted twin
B ) Cervicitis
C ) Ectopic pregnancy
D ) Focal decidual necrosis
E ) Gestational trophoblastic disease
F ) Incomplete abortion
G ) Ovarian torsion
H ) Ruptured ovarian cyst
I ) Threatened abortion
I'd say B. cervicitis. Painless first trimester bleeding, post coidal bleeding, I think it is B.
F and I appear equally possible, but ususally painful.
Fadd's information and argument are very persuasive and I will go with B.
Post coidal bleeding---strongly suggest cervicitis. Plus, it is painless, so we can exclude most of the choices. Pick the most common one as our choice is safer.
I would go with B. Friable cervix is typical for cervicitis
Abortion normally with crampy and bleeding.