The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.
A 30-year-old gravida 3, para 2 patient who is 23 weeks pregnant presents to the maternal/fetal medicine department. She was referred to the department at the request of her primary obstetrician after an obstetric ultrasound demonstrated complete placenta previa.
The patient has no other surgical history or significant medical history. She has no known allergies and is not currently taking medications. She does not report any vaginal bleeding. She has no abdominal pain, cramps, or contractions.
Quickening was first noted at 19 weeks' gestation, and she continues to feel regular fetal movement. She denies having any vaginal discharge or leakage of fluid. She has no other symptoms.
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Cite this: Craig Johnson, Zachary Redus, Michael Mader, et. al. A 30-Year-Old Woman With an Abnormal Fetal Ultrasound - Medscape - Apr 25, 2017.