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- Paolo T Coppola and Marco Coppola.
- Department of Emergency Medicine, Brookhaven Memorial Hospital, 101 Hospital Road, East Patchogue, NY 11772, USA.
- Emerg. Med. Clin. North Am. 2003 Aug 1;21(3):667-77.
AbstractThe first and foremost diagnosis to exclude in the pregnant patient presenting with vaginal bleeding is ectopic pregnancy. Once ectopic pregnancy is ruled out, miscarriage should be considered as a clinical spectrum. Its management is directed according to the integrity of the internal cervical os and patient hemodynamic status. Treatment with anti-D immune globulin is warranted for all Rh-negative patients. Urgent obstetric consultation is necessary for most miscarriage presentations.
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