Ectopic Pregnacy exam 2 Flashcards Preview

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Flashcards in Ectopic Pregnacy exam 2 Deck (5)
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1
Q

•Zygote implants outside of the uterine cavity, usually in ampulla of the fallopian
tube
•Results from abnormalities that slow or prevent the passage of the fertilized ovum through the fallopian tube
•1 out of 100 pregnancies, ¾ dx in 1st
trimester

A

Ectopic pregnancy

2
Q
•Ampulla 
•Isthmus 
•Interstitium 
•Fimbria 
•Tuboovarianligament 
•Ovary 
•Abdominal cavity 
•Cervix
-externalos
A

Implantation sites

3
Q
  • Adhesions from pelvic inflammatory disease (PID)
  • Inflammation: STD
  • Infection: yeast, UTI
  • Hormonal abnormalities: cystic fibrosis
  • endometriosis: leading cause of ectopic
A

Risk factors

4
Q
  • Abdominal pain: R/L fallopian tube
  • Light vaginal bleeding
  • Referred shoulder pain: internal bleeding
  • Signs of shock: low BP and temp, high heart and respiratory rate, tinnitus and dizziness
A

Signs and symptoms

5
Q

•Diagnosis by ultrasound
•Control of hemorrhage
•Laparotomy/laparascopy
to remove ectopic pregnancy, attempt to save
tube
•Emotional support–loss of pregnancy
•Recurs in 10% of women, 50% or >have normal pregnancy following

A

Medical managment