23 year old Female presents with 42 days of amenorrhea and vaginal spotting. Which of the following is the most useful diagnostic test?: (A) Transvaginal USG, (B) Urine pregnancy test, (C) Beta HCG, (D) Serum Progesterone
Answer is A. In this case, firstly we will do TVS to look for G-sac and cardiac activity to rule in or rule out Pregnancy. A TVS would also confirm bility, since the patient has presented with bleeding pv which could be a sign of an aboion. Method Gestational Sac Cardiac activity TVS 4+ weeks 5+ weeks TAS 5+ weeks 6+weeks