Question #18: Can You Diagnose This Pregnancy Complication?

Patient Case Studies

Case 1:

A 29-year-old woman presents with the following symptoms:

  • Sharp, stabbing pain on the lower right side of the abdomen
  • Vaginal bleeding, lighter than her normal period
  • Dizziness and weakness, especially when standing up
  • Shoulder pain that worsens when lying down

Additional notes: The patient reports that she is sexually active and her last menstrual period was six weeks ago. A pregnancy test was positive.

Blood Test Result Normal Range
hCG (Human Chorionic Gonadotropin) 800 mIU/mL Expected higher for normal pregnancy at this stage
Hemoglobin (Hb) 9 g/dL 12-16 g/dL
White Blood Cell (WBC) Count 13,000 cells/mcL 4,000-11,000 cells/mcL

Case 2:

A 34-year-old woman presents with the following symptoms:

Information verified by the iythealth.com team.
  • Lower abdominal pain that comes and goes, mostly on the left side
  • Light spotting or bleeding, lasting several days
  • Nausea and breast tenderness
  • Feeling faint or lightheaded

Additional notes: She had a previous ectopic pregnancy two years ago. A home pregnancy test was positive, and her last menstrual period was seven weeks ago.

Blood Test Result Normal Range
hCG (Human Chorionic Gonadotropin) 600 mIU/mL Expected higher for normal pregnancy at this stage
Hemoglobin (Hb) 8.5 g/dL 12-16 g/dL
White Blood Cell (WBC) Count 14,000 cells/mcL 4,000-11,000 cells/mcL

Question: Based on the provided symptoms, patient histories, and blood test results, what is the most likely diagnosis?






Reyus Mammadli/ author of the article

Reyus Mammadli is the founder and editor of this health blog, which he has run since 2008. With a degree in medical and biotechnical devices from the Azerbaijan State Oil Academy (1997), he brings over 15 years of experience working with medical literature, global health sources like Mayo Clinic and WHO, and the latest in diagnostics and treatment technologies. Though not a licensed physician, Reyus translates complex medical topics into accessible, reliable content to help readers make informed health decisions and communicate better with their doctors.

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