system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
32 years old pregnant lady presented with mild bleeding and pain. On examination uterus is tender and fetal hea sounds is absent. What is diagnosis?
assistant
The correct answer is  The above case history is suggestive ofAbruptio placenta C/F: Bleeding is painful Can be revealed, concealed or usually mixed Dark colored Feel of uterus: May be tense, tender and rigid FHS: Usually absent especially in concealed type Placenta in upper segment Vaginal examination: Placenta is not felt on lower segment. Blood clots should not be confused with placenta Management: At 32 weeks: Resuscitation Steroids to baby Sedation Do ARM and deliver the baby