<prompt> A patient comes with 6 weeks amenorrhoea and features of shock-Ectopic pregnancyH. MoleTwin pregnancyNone of the above  <response>: Ans. is a i.e., Ectopic pregnancy Clinical features of ectopic pregnancyo Classical triad is abdominal pain 100, amenorrhea 75 vaginal bleeding 70.o Amenorrhea usually of short period 6-8 weekso Abdominal pain it is acute, agonising colicky. Located in lower abdomen: unilateral, bilateral or may be generalised.Sometimes the pain may also be referred to shoulder,o Vaginal bleeding may be slight continuous,o Vomiting fainting attack.Signso General look diagnostic- Patient is quite conscious, perspires looks blanched,o Pallor - Severe proportionate to the amount of internal haemorrhageo Features of shock - Rapid feeble pulse, hypotension cold clammy extremities.o Abdominal examination lower abdomen - tense, tumid, tender. No mass felt. Shifting dullness present. Muscle guard is usually absento Pelvic examination - Less informative. Vaginal mucosa is blanched white uterus may b normal in size or bulky. Extreme tenderness on fornix palpation or on cervical movements. The uterus floats as if in the water. 