Anatomy clinical correlates Quiz: Ace Your Exams
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A 23-year-old primigravida vaginally delivers a 3.6 kg girl after protracted labor. Medical history during pregnancy is significant for gestational hypertension. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 20/min, and blood pressure is 105/75 mmHg. An hour after delivery, she soaks her perineal pad. 500 ml of blood is expressed from the lower uterine segment on bimanual uterine examination. Blood pressure is 100/70mm of Hg with a pulse of 95/min. She is conscious and responds to oral commands. Two large-bore intravenous cannulas are placed, uterine massage is initiated, and an infusion of oxytocin is initiated. However, she continues to hemorrhage, and her condition deteriorates. After a thorough examination of the genital tract, the cause of bleeding is determined to be uterine atony. Ligation/embolization of which of the following arteries would be the next best step in arresting ongoing bleeding?
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