A woman at 32 weeks’ gestation comes to the emergency department with painless vaginal bleeding. Her temperature is 37.1° C (98.8° F), pulse is 76/min, and blood pressure is 126/90 mm Hg. The fetal heart rate is 155/ min. She has no other symptoms. Urinalysis shows no blood cells or bacteria and a normally elevated β-hCG level. Which of the following diagnoses should the emergency department physician consider before performing a gynecologic examination?
- (A) Abruptio placentae
- (B) Eclampsia
- © Hydatidiform mole
- (D) Placenta previa
- (E) Preeclampsia
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