Ectopic Pregnancy Flashcards Preview

HRM - Medicine > Ectopic Pregnancy > Flashcards

Flashcards in Ectopic Pregnancy Deck (19)
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1

If you have high pitched bowel sounds, what is the likely cause?

Obstructive process

2

If you have absent bowel sounds, what is a likely cause?

Ileus

3

What is McBurney's point tenderness specific for?

Appendicitis

4

What is Murphy's sign?

Inhale with fingers under right rib cage (Cholecystitis)

5

What is Rosvig's sign for?

Appendicitis

6

What is a positive flid wave for?

Ascities

7

What has pain produced by a valsalva maneuver?

Hernia

8

What is the Psoas/Obturator sign for?

Appendicitis

9

What does a perforated viscus look like on physical exam?

Tense, protuberant abdomen
Tympanitic to percussion

10

What type of ultrasound is best for a suspected ectopic pregnancy?

Transvaginal ultrasound

11

Where are the most common places for ectopic pregnancies?

55% Oviduct ampulla
25% Oviduct isthmus
17% oviduct fimbria
3% abdominal cavity

12

What is the most logical explanation for increasing frequency of ectopic pregnancy?

Previous pelvic infection

13

What are some risk factors for ectopic pregnancy?

PID
Prior ectopic preg
Tubal ligation
Fertility treatment
Increasing age
Smoking
Endometriosis
Birth defects of tubes

14

What are the most common symptoms of ectopic pregnancy?

Abdominal pain
Amenorrhea
Palpable adnexal mass
Bleeding/spotting

15

How long after LMP do symptoms usually present for ectopic pregnancy?

6-8 weeks

16

How long after ovulation can a transvaginal ultrasound see an ectopic pregnancy?

24 days (1 week earlier than abdominal)

17

What level of serum hCG is the cutoff for a more benign course?

1500 mIU/ml

18

What is the doubling time for hCG in the first few months of pregnancy?

48 hours

19

What are common treatments for ectopic pregnancy?

Surgical (laparoscopic salpingostomy)
Methotrexate injection for small ectopics with no fetal heart motion
Rhogam prophylaxis (even if ectopic or spontaneous abortion)