Snapshot A 24-year-old G0P0 comes to clinic for 9 weeks of amenorrhea, nausea, and bloating. She does not endorse spotting. She has no medical history. Menarche began at age 12, and she typically has her menstrual cycle every 28-35 days. She is sexually active with her boyfriend and uses barrier protection inconsistently. Her temperature is 98.6°F, blood pressure is 114/78, pulse is 70/min, and respirations are 14/min. A serum hCG test is positive and a transvaginal ultrasound demonstrates a gestational sac. Introduction Overview login to view 5 more bullets Presentation History login to view 3 more bullets Symptoms login to view 6 more bullets Physical exam login to view 18 more bullets Imaging Ultrasound login to view 17 more bullets Doppler ultrasound exam login to view 8 more bullets Studies Serum labs login to view 5 more bullets Urine labs login to view 2 more bullets Home pregnancy test login to view 1 more bullet Differential Uterine fibroid login to view 2 more bullets Pseudocyesis login to view 2 more bullets Molar pregnancy login to view 2 more bullets Complications Ectopic pregnancy login to view 9 more bullets Hyperemesis gravidarum login to view 11 more bullets Spontaneous abortion login to view 9 more bullets