A 38 year old G6 P4+1 at 30 weeks of gestation presents at Hc1V with painless PV bleeding for one week,fetal movements are felt, identify most likely diagnosis,give 4 features to support her conditio?

The most likely diagnosis for this patient is placenta previa.

Four features to support this diagnosis include:
1. Painless vaginal bleeding, which is a common symptom of placenta previa.
2. Fetal movements are felt, indicating that the fetus is still alive and active.
3. The patient is at 30 weeks of gestation, which is a common time for placenta previa to present.
4. The patient has had the bleeding for one week, which is consistent with the chronic nature of placenta previa.

Most likely diagnosis: Placenta previa

4 features to support her condition:

1. Painless PV bleeding: Placenta previa typically causes painless vaginal bleeding, which is usually dark red or brown in color.
2. Third trimester bleeding: Placenta previa most commonly occurs in the third trimester, around 30 weeks of gestation.
3. Fetal movements felt: Fetal movements are typically felt in patients with placenta previa, indicating that the fetus is alive and well.
4. History of previous Pregnancies: A history of previous pregnancies, especially multiple pregnancies, increases the risk of placenta previa.