Read the introduction , then click on the image. Her last menstrual period was 13 weeks ago. Urine HCG is positive. Bimanual exam reveals uterine size consistent with 12 to 14 weeks gestation.
Pelvic exam reveals blood in the vault and blood from the cervical os.
The external os is open to the fingertip, and the internal os is closed. No cervical motion tenderness or adnexal mass is evident. Point and click on the abnormality in the image from the TVUS which is pathognomonic for the condition causing the patient's symptoms. You may also decide to go straight ahead to the answer and discussion. All material on this website is protected by copyright.