Presumptive Signs of pregnancy: (remember other possible diagnoses)
• amenorrhea in a woman in the reproductive age group, with previously regular cycles
• Chadwick’s sign: bluish discolouration of the walls of the vagina and cervix due to increased vascularity of the pelvis
• breast changes: tenderness, darkening of the areolae, prominence of Montgomery’s follicles (aka tubercles), prominent vascular patterns
• subjective phenomena: fatigue, urinary frequency, digestive disturbances (nausea, vomiting, constipation, dyspepsia)
• perception of fetal movement by the patient (quickening); expect by ~20 weeks gestation, earlier in multiparous women
• localized changes in skin pigmentation (e.g. Chloasma or “mask” of pregnancy)
• development of abdominal (and possibly breast) striae