A 19-Year-Old Female with Vaginal Bleeding

This case presents a clinical vignette of a 19-year-old woman with early pregnancy complicated by abdominal pain and vaginal bleeding. The learner is provided with an opportunity to formulate their own clinical presentation and differential, followed by an ideal presentation and note for comparison. Key points include the evaluation of ectopic pregnancy using transvaginal ultrasound and quantitative hCG, the importance of identifying right adnexal tenderness, and management strategies including consultation with obstetrics/gynecology and RhoGAM administration for Rh-negative patients. Timely recognition and intervention is critical to prevent rupture and life-threatening complications.