Clinical 4 Ectopic Pregnancies

Question 1

Most Common Etiologies of Ectopic Pregnancies

Answer 1

Pelvic Inflammatory Disease
Prior Ectopic Pregnancies
Prior Tubal Surgery
(Ligation/reconstruction)
Hx of infertility and assisted reproduction therapy
IUD

Question 2

Symptoms/Signs Ectopic Pregnancies

Answer 2

Abdominal/Pelvic Pain (90%)
Vaginal Bleeding (50-80%)
Amenorrhea (75-90%)

Question 3

Diagnostic Techniques Ectopic Pregnancies

Answer 3

S-HCG

Ultrasound (endovaginal)

Question 4

Treatment of Ectopic Pregnancies

Answer 4

Medical: Methotrexate
Surgical: Laparoscopy, Laparotomy
Surgical: Salpingostomy, salpingectomy

Question 5

Typical Ectopic Patient

Answer 5

Abdominal pain
Abdominal distention
Hypovolemia (tachycardia, diaphoresis, Orthostatic BP)

Question 6

Physical Exam

Answer 6

Afebrile
Abdominal tenderness
50% have adnexal mass on exam