23rd December 2021

A 21-year-old presents to A+E with heavy vaginal bleeding and suprapubic pain

A 21-year-old presents to A+E with heavy vaginal bleeding and suprapubic pain. It began in the early hours of the morning and is not in keeping with her regular menstruation. She mentions that she is late for her last period by 3 weeks and is sexually active. She is unsure if she has produced any tissues, but she has passed a possible clot. She has no medical history of significance; however, she is usually regular with her periods. What would be the most appropriate working diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.