Early Pregnancy (1*)

Question 1

What is the first sign of pregnancy?

What are the other early signs of pregnancy?

Answer 1

➊ Missed period

➋ • Metallic taste in mouth
• Light PV spotting
• Cramping, similar to period pains
• Sore breasts
• Morning sickness
• Tiredness
• New food likes and dislikes
• Heightened sense of smell
• Needing to pee more frequently
• Milky white pregnancy discharge from vagina
• Chloasma faciei or the “Mask of pregnancy” - Darkened skin on face or brown patches
• Thicker, shinier hair

Question 2

What are the main differentials to consider during early pregnancy?

Answer 2

• Miscarriage
• Ectopic
• Hyperemesis Gravidarum
• Molar Pregnancy

Question 3

GOLDEN RULES:
What should you always think if you have a female pt of reproductive age?

What should you always think if you have a female pt of reproductive age w/abdominal pain +/- PV bleeding?

Answer 3

➊ They’re pregnant until proven otherwise - THINK PREGNANCY!!

➋ They have an ectopic pregnancy until proven otherwise - THINK ECTOPIC PREGNANCY!!