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Ectopic Pregnancy

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Topic updated on 12/15/16 3:41pm

Snapshot
  • A 23-year-old female with a history of pelvic inflammatory disease presents with uterine bleeding and unilateral pelvic pain. Her last menstrual period was 6 weeks ago.
Introduction
  • Zygotic implantation outside the uterus (uterine cavity)
  • Common locations
    • fallopian tube (most common)
    • abdominal cavity
    • ovary
  • Risk factors
    • PID scarring (most common)
    • altered tubal motility
    • endometriosis
Presentation
  • Symptoms
    • sudden onset of lower abdominal pain
      • may show rebound tenderness
    • adnexal tenderness
    • missed period
    • abnormal uterine bleeding
Evaluation
  • Labs
    • β-HCG test
      • test serum if urine is negative
      • screening test
  • Imaging 
    • transvaginal ultrasound
      • confirmatory test
Treatment
  • Medical
    • methotrexate
  • Surgical 
    • resection
Complications
  • Rupture
    • leads to abdominal hemorrhage


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AVERAGE 3.0 of 2 RATINGS

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