Browse categories and answer follow-up questions to refine your symptom profile.
Triage and immediate stabilization
Initial priorities
Airway compromise
Respiratory distress
Circulatory instability
Immediate bedside glucose if altered mental status
Resuscitation bay trigger for syncope or shock
Early obstetrics and gynecology consultation trigger for hemodynamic instability
Hemorrhage recognition
Heavy vaginal bleeding
Large clots
Soaking more than 2 pads per hour for 2 hours
Persistent bleeding with tachycardia
Orthostatic symptoms
Ongoing bleeding after tissue passage
Sepsis recognition
Fever
Chills
Uterine tenderness
Foul vaginal discharge
Persistent tachycardia not explained by pain
Immediate actions if unstable
Two large bore IV access
Cardiac monitor
Frequent blood pressure reassessment
Type and screen
Massive transfusion protocol activation if ongoing shock with bleeding
Tranexamic acid 1 g IV over 10 minutes for life threatening hemorrhage
Repeat tranexamic acid 1 g IV after 30 minutes if bleeding continues
Key decision points
Hemodynamic instability plus positive pregnancy test
Peritonitis or severe abdominal pain
Open cervical os with significant bleeding
Suspected retained products with hemorrhage
Suspected septic abortion
Pregnancy of unknown location
Targeted bedside imaging and escalation
Point of care ultrasound pathway
Pregnancy test positive with instability
Immediate transabdominal pelvic ultrasound
Free fluid assessment
Intrauterine pregnancy assessment
If free intraperitoneal fluid with no confirmed intrauterine pregnancy
Presume ruptured ectopic pregnancy until proven otherwise
Immediate surgical and obstetric consultation
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.