Your patient is a 32-year-old woman who reports that she is 9 weeks pregnant. She is complaining of severe abdominal pain, slight vaginal bleeding, and shoulder pain. Abdominal examination reveals significant tenderness in the lower right quadrant. The patient is somewhat agitated and tachycardic. You should suspect developing shock resulting from

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Your patient is a 32-year-old woman who reports that she is 9 weeks pregnant. She is complaining of severe abdominal pain, slight vaginal bleeding, and shoulder pain. Abdominal examination reveals significant tenderness in the lower right quadrant. The patient is somewhat agitated and tachycardic. You should suspect developing shock resulting from