A 24yo woman has 8wk amenorrhea, right sided pelvic pain and vaginal bleeding. She is
apyrexial. Peritonism is elicited in the RIF. Vaginal exam reveals right sided cervical excitation.
What is the most probable dx?
a. Ectopic pregnancy
b. Salpingitis
c. Endometriosis
d. Ovarian torsion
e. Ovarian tumor
answer: A
DD of cervical motion tenderness:
Ectopic pregnancy
PID
8 weeks amenorrhea excludes PID and favours ectopic.
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