Differential Diagnosis for Fundus Felt Higher than AOG after a Car Crash
Single Most Likely Diagnosis
- Uterine Rupture: This is a likely diagnosis given the scenario of a car crash and the fundus being felt higher than expected. The force of the crash could have caused a rupture, especially if the woman was pregnant.
Other Likely Diagnoses
- Placental Abruption: The trauma from the car crash could have caused the placenta to separate from the uterus, leading to bleeding and the fundus being higher than expected.
- Uterine Distortion or Displacement: The force of the crash could have caused the uterus to become distorted or displaced, resulting in the fundus being felt higher than expected.
Do Not Miss Diagnoses
- Ectopic Pregnancy with Rupture: Although less likely, an ectopic pregnancy that has ruptured could present with a similar scenario, and missing this diagnosis could be fatal.
- Internal Bleeding or Hemorrhage: The trauma from the crash could have caused internal bleeding or hemorrhage, which could be life-threatening if not promptly addressed.
Rare Diagnoses
- Uterine Torsion: Although rare, uterine torsion could occur due to the trauma from the crash, leading to the fundus being felt higher than expected.
- Amniotic Fluid Embolism: This is a rare but potentially life-threatening condition that could occur due to the trauma from the crash, and it should be considered in the differential diagnosis.