[Verified Answer]: DIAGNOSES: 1

DIAGNOSES: 1. Undesired pregnancy at 10 weeks, 6 days2. Hyperemesis gravidarum3. Type 2 diabetes4. HypertensionFINDINGS: Exam under anesthesia, 11-week size uterus. No masses felt bilaterally.SPECIMEN: Products of conceptionINDICATIONS: This is a 38-year-old, Gravida 2, Para 1 at 10 weeks, 6 days, by dates and by a bedside ultrasound,who had severe hyperemesis gravidarum and an undesired pregnancy. The patient is sure of her decision.PROCEDURE: The patient was taken to the Operating Room where general anesthesia was found to be adequate.She was placed in candy cane stirrups, prepared and draped in normal sterile fashion. A weighted speculum wasplaced in the patients vagina. The anterior cervix was grasped with a single tooth tenaculum. The paracervicalblock was done with 1/2 bupivacaine at 4:00 and 6:00 for a total of ten mL. The cervix was then dilated up to #16Hegar dilator. A #14 suction curette was then placed in the uterus. Products of conception were then removedwith the suction curette. Sharp curettage was then done until a gritty texture was felt throughout the uterus.All fetal parts were accounted for. The single tooth tenaculum was removed. Silver nitrate was placed on thetenaculum site and hemostasis was noted. The patient tolerated the procedure well. Sponge, lap, and needlecounts were correct times two. The patient will be taken to the recovery room in stable condition.