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Published online by Cambridge University Press: 19 November 2021
A 31-year-old gravida 3, para 1011 at 7 weeks’ gestation presents with vaginal spotting. She complains of no pain but reports mild uterine cramping. Her obstetric history is notable for a term cesarean delivery two years ago for non-reassuring fetal heart tones. Her first pregnancy was a fallopian tube ectopic pregnancy treated with methotrexate and complicated by a gastrointestinal hemorrhage. On review of systems, she reports nausea, vomiting, and fatigue. Her past medical history is significant for gastric ulcers and her past surgical history is significant for tonsillectomy. She is currently taking a proton pump inhibitor and prenatal vitamins. She has no known allergies.
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