This document contains a series of questions about various pregnancy cases involving vaginal bleeding, abdominal pain, miscarriage, contraception methods, and ultrasound findings. It discusses the diagnosis and management of conditions such as threatened miscarriage, complete miscarriage, molar pregnancy, and scar pregnancy based on patient history, beta hCG levels, ultrasound images, and MRI findings.

1. 1. Pregnant lady with vaginal bleeding
fetal heart pulsation is seen
what is your Dx ?

2. 2.Pregnant lady with mild vaginal bleeding
LMP GS = 8 weeks
what is your Dx ?

3. 3. Nine weeks pregnant lady , come for check up scan
embryonic pulsation is negative
what is your Dx ?

4. 4. Pregnant lady under went heavy vaginal bleeding with
abdominal pain one week earlier , now have persistent vaginal
bleeding
what is your Dx ?

5. 5. Pregnant lady under went heavy vaginal bleeding with
abdominal pain one week earlier , now have persistent vaginal
bleeding
what is your Dx ?

6. 6. Pregnant lady under went heavy vaginal bleeding with
abdominal pain one week earlier , now have persistent vaginal
bleeding
what is your Dx ?

7. 7. Pregnant lady come to check up ultrasound
estimated gestational age is 8 weeks
what is your diagnosis ?
Slight vaginal bleeding , no cramps

8. 8. Pregnant lady come to check up ultrasound
estimated gestational age is 8 weeks
what is your diagnosis ?
What is the appearance called ?

9. 9. Pregnant lady come for check up ultrasound ,
gives history of hyperemesis
what is your diagnosis ?

10. 10.Lady on contraception what kind of
contraception it is ?

11. 11. A lady with IUCD
comment on the position of IUCD ?

12. 12. A lady on IUCD
comment on the position of the IUCD ?

14. A 24 years old lady , pregnant in 6
weeks
undergoes spontaneous abortion
initial US scan after 2 hours of the
abortion shows almost complete
abortion

15. The patient continues to have vaginal
bleeding for about 2 weeks
a gynaecologist is consulted
she recomends beta hCG test

16. Beta hCG test done and the result
shows
> 1200 IU
the gynaecologist suspects Molar
pregnancy
and
request for an US Examination

17. US image reveals this :

18. US image reveals this :

19. Later MRI was done :
more images ?!

20. What do you think ?

21. What do you think ?

22. It was scar pregnancy
and late she gave birth to this little angel