In the ED, her vitals/exam are as above. Regarding the patient’s vaginal bleeding, DDx includes expected post-abortion course and retained products of conception.low suspicion for UTI, cystitis, vaginitis, PID, ruptured ovarian cyst.  Much lower concern for torsion or ectopic pregnancy considering patient’s normal vital signs, no active vomiting, and minimal abdominal tenderness.
– Labs/Tests: UPreg. Low threshold for CBC, serum HCG quant, UA w/ reflex culture, urine GC NAAT
– Imaging: TVUS to assess for retained products
– Treatments: None
– Consults: None
– Dispo: Likely discharge with GYN follow-up