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?






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