Abdominal trauma in pregnancy Quiz: Ace Your Exams
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A healthy primigravid 29-year-old woman is brought to the emergency department at 18 weeks estimated gestational age (EGA) after a high-speed motor vehicle accident. She has crampy abdominal pain, rated a 7 on a 10-point scale, and vaginal bleeding. The cervical spine is cleared, and the patient is transferred to labor and delivery. Temperature is 37.4°C (99.3°F), pulse is 122/min, respirations are 18/min, and blood pressure is 88/60 mmHg. On exam, multiple contusions are noted. The uterine fundus is palpable 2 cm below the umbilicus and is moderately tender to palpation. A grapefruit sized blood clot is removed from the vagina and brisk bleeding is noted coming from the cervical os. The fetal heart rate is 100/min, and high frequency low amplitude contractions are noted on tocometry. Which of the following sets of laboratory findings is most consistent with the most likely underlying diagnosis?
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