Ectopic Pregnancy Flashcards
most common site of ectopic prgnancty
fallopian tubes
risk factors for ectopic pregnancy
IVF
previous ectopic
endometriosis
history of pelvic infection
previous tubal surgery
IUCD use failing
pregnancy occuring whilst using progesterone-only contraceptive
most common symptoms of ectopic pregnancy
abdo pain
pelvic pain
amennorrhoea or missed period
vaginal bleeding
less common/specific symptoms of ectopic pregnancy
dizziness
fainting
syncope
breast tenderness
shoulder tip pain
urinary symptoms
passage of tissue
recatal pain or pressure on defecation
diarrhoea
vomiting
what symptoms would be present if the pregnancy has ruptured
profuse bleeding
hypovolaemic shock
what is adnexal tenderness
pain in pelvis around reproductive structures
should you perform an internal exam if an ectopic pregnancy is suspected
no as this increases the risk of rupturing
when is a referral to hospital required in pregnant women
pain or tenderness of abdo
pelvic tenderness
cervical motion tenderness
vaginal bleeding
how do you differentiate between an ectopic pregnancy and a threatened miscarriage
may present similarly but vaginal bleedind predominant symptom in misscarriage
pain preceeds bleeding in ectopic
what investigations should be performed for a suspected ectopic preganancy
pregnancy test
transvaginal ultrasound
hCG levels
when should a pregnancy test be performed
whenever there is a remote possibility of pregnancy and presentation of lower abdo pain
what is the most accurate method for detecting a tubal pregnancy
transvaginal ultrasound
what can a transvaginal ultrasound detect
location and whether there is a foetal pole and heartbeat
when are hCG levels performed
in women with pregnancy of unknown location who are clinically stable
management of ectopic pregnancy
single dose of methotrexate or surgery
