A 30-year-old woman presents to the emergency department with severe lower abdominal pain, heavy vaginal bleeding, and shortness of breath. She underwent suction evacuation for a complete molar pregnancy 3 weeks ago. On exam, she is pale, hypotensive, and has suprapubic tenderness. The uterus is enlarged and tender. β-hCG is persistently elevated. Pelvic ultrasound reveals an irregular myometrial mass with high vascularity and no discrete intrauterine gestational sac.
What is the most likely diagnosis?

Abdominal pain

📍Important flashcards

📌: What’s the first condition to rule out in early pregnancy with abdominal pain?
Ectopic pregnancy


📌: What type of pain is described as dull, vague, and associated with organ distension?
Visceral pain


📌 Which condition causes lower abdominal pain in the 2nd trimester, relieved by rest and acetaminophen?
Round ligament pain


📌 What obstetric emergency presents with uterine rigidity, pain, and vaginal bleeding?
Placental abruption


📌Which liver-related pregnancy condition causes RUQ pain, hypoglycemia, and coagulopathy?
Acute fatty liver of pregnancy (AFLP)


📌What is the triad for HELLP syndrome?
Hemolysis, Elevated Liver enzymes, Low Platelets


📌What condition presents with nocturnal pruritus and elevated bile acids in late pregnancy?
Intrahepatic cholestasis of pregnancy


📌Which condition causes sudden abdominal pain, fetal distress, and palpable fetal parts?
Uterine rupture


📌What non-pregnancy condition presents with RLQ pain and may have atypical signs in pregnancy?
Acute appendicitis


📌What GI condition causes RUQ pain and elevated amylase/lipase in a pregnant woman with gallstones?
Acute pancreatitis


📌What urinary complication occurs in 14–16 weeks due to a retroverted uterus?
Acute urinary retention


📌What imaging is best for adnexal masses in pregnancy?
Ultrasound


📌Which condition may mimic appendicitis but presents with a cystic mass and reduced blood flow on Doppler?
Ovarian torsion


📌What musculoskeletal pains are common in pregnancy?
Pubic symphysis, sacroiliac joint, back pain


📌What is the management priority for undifferentiated abdominal pain with maternal shock?
Start anti-shock therapy and urgent evaluation

A 29-year-old woman at 36 weeks presents with generalized pruritus, especially on her palms and soles, worse at night. She denies rash, nausea, or vomiting. LFTs show elevated transaminases and raised bile acids. Fetal ultrasound is normal for growth and amniotic fluid. CTG shows occasional late decelerations. What is the most appropriate next step in management? مهم

A 30-year-old primigravida at 35 weeks presents with nausea, vomiting, headache, RUQ pain, and progressive jaundice. She is confused, her glucose is 40 mg/dL, and labs reveal elevated LFTs, renal impairment, coagulopathy, and leukocytosis. BP is 120/80 mmHg. Platelets are mildly low. Fetal monitoring is non-reassuring.
What is the most likely diagnosis?

A 27-year-old woman at 30 weeks’ gestation presents with fever, anorexia, malaise, and jaundice. She just returned from a rural area with poor sanitation. LFTs are markedly elevated, and INR is prolonged. She becomes confused and drowsy. Hepatitis E IgM is positive.
What is the most appropriate next step in management?

A 33-year-old primigravida at 35+5 weeks presents with nausea, RUQ pain, confusion, and jaundice. BP is 100/60 mmHg, glucose is 38 mg/dL, and she has coagulopathy and thrombocytopenia. LFTs and creatinine are markedly elevated. Fetal monitoring shows bradycardia.
What is the most urgent next step?

يلا شويه ونبدي jaundice

العدلي صار قبله ٥ ايام
الكميونتي ٤ ايام
الاطفال يومين

بس للامانه خوش جدول ترا
بس لو يتبدل الاطفال بالعدلي

وين مااروح الكه امراض الثايرويد وال بتوتري كدامي واتذكر چفصات الاندو وتتعب نفسيتي 🙂
يعني شلون التوليد مناويين يخلوني أتخطى الاندو ؟ 🦦

اليوم ان شاءالله ثنينهن ينشرحون 💗

يلا خل نقره ملزمة ال jaundice 💗
بسم الله الرحمن الرحيم