EP105 - Abdominal Pain & Vaginal Bleeding in A Middle-Aged Woman

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated medical scenario for a 39-year-old woman presenting to the emergency department with severe lower abdominal pain and heavy vaginal bleeding after nine weeks of amenorrhoea, following a previous miscarriage. The purpose is to assess a candidate's ability to diagnose and manage a suspected incomplete abortion (miscarriage), particularly focusing on recognising and addressing cervical shock. Key tasks for the candidate include taking further history, conducting relevant examinations, requesting necessary investigations, and explaining the diagnosis and management to the patient, with an emphasis on the immediate need to remove products of conception and control bleeding. The case also highlights critical errors and expectations for effective patient care in such an urgent situation.

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