A 31-year-old African American female is brought into the ER with vaginal hemorrhage

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A 31-year-old African American female is brought into the ER with vaginal hemorrhage. She is unsure of her last menstrual period. States she is sexually active and does not use protection. On exam there are large clots noted in the vaginal vault, with possible tissue. Vital signs are T 37, P 134, RR 26, BP 180/110.

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