MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A young woman has lower abdominal pain and light bleeding she believes is menstrual. She nearly collapsed on standing and is uncertain of her last menstrual period.
Which diagnostic pitfall should be avoided?
Do not treat bleeding as proof that pregnancy is absent. Immediately assess stability, test for pregnancy and arrange urgent referral when ectopic pregnancy is possible, particularly after near-collapse. Specialist assessment combines clinical findings, ultrasound and laboratory testing as appropriate; a single result does not establish pregnancy location.