A 28 year old female is seen to pass out while walking down thestreet and bystanders call 911. The patient reports she is havingsignificant abdominal pain on the arrival. She does not know whenher last period was. She does not know if she is pregnant. Herheart rate is 90, her blood pressure is 85/60, she is breathing 20times per minute. She is alert and oriented. What is the mostlikely life threatening process that she could have based on thisstory ?

(a) Urinary tract infection.

(b) Kidney stone

(c) ruptured ectopic pregnancy

(d) Aortic dissection

(please give explanation)

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