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Cervical shock: a complication of incomplete abortion
- Publication Year :
- 2017
- Publisher :
- BMJ Publishing Group, 2017.
-
Abstract
- A case of a 37-year-old female primagravida who attended the emergency department (ED) via ambulance in hypotensive shock. She was 10 weeks pregnant, but had an inevitable miscarriage confirmed in the local Early Pregnancy Unit 3 weeks previously. She was hypotension (90/60 mm Hg), bradycardic (45 bpm) and was peripherally shut down. A provisional diagnosis of haemorrhagic shock was made, but despite intravenous fluid challenges, she appeared to be deteriorating, so a major haemorrhage protocol was activated. On examination, there was some vaginal bleeding and a protruding sac noted. The gynaecology registrar was informed and performed an Evacuation of the Retained Products of Conception in the ED. This gave instant relief to the patient and her blood pressure and heart rate became normal over a few minutes. She went on to make a full recovery. This case provides useful learning points for doctors working in the ED and other urgent care settings.
- Subjects :
- Adult
medicine.medical_specialty
Cervix Uteri
Abortion
Article
Dilatation and Curettage
Diagnosis, Differential
03 medical and health sciences
Incomplete Abortion
0302 clinical medicine
Obstetrics and gynaecology
Pregnancy
medicine
Humans
Vaginal bleeding
030212 general & internal medicine
030219 obstetrics & reproductive medicine
business.industry
Obstetrics
General Medicine
Emergency department
medicine.disease
Abortion, Incomplete
Shock, Septic
Pregnancy Trimester, First
Blood pressure
Shock (circulatory)
Anesthesia
Female
medicine.symptom
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....3e24b72dfb78620c53c681eb2734f009