A 35 year old female presents to your Emergency department with vaginal bleeding and low abdominal pain. Her last normal menstrual period was 6 weeks ago. She is prone to recurrent vaginal spotting.
She looks anxious and distressed.
Her blood results are as follows:
beta HCG 1500 U/L
Hb 110 (120-150g/l)
Platelets 300 (140-400)
WCC 8.4 (4-11)
1. Give 3 relevant differential diagnosis
2. What are your priorities?
3. What are the relevant specific features on history?
4. Describe the concept of the discriminatory zone