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A 38-year old female presents with active vaginal bleeding. Her vital signs are: BP 110/70, HR 130, RR 16, Sp02 100% RA, Temp 37.4

1. List (4) possible causes for her presentation 4 marks

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You perform a urinalysis and her BHCG is positive

2. State (4) other investigations you will perform on her in the ED and (1) justification each for their use 4 marks

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Upon reassessment her BP is now 80/40 and her HR 90

3. Outline your immediate management priorities for this patient 4 marks

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