7: Ectopic Pregnancy

Question 1

When is ectopic pregnancy usually found?

Answer 1

1st trimester

Question 2

What are the symptoms of ectopic pregnancy?

Answer 2

Pelvic or abd pain, unilateral pain, bleeding. If ruptured, potentional hypotension, breast tenderness, shoulder pain.
The pain may be described as vague, sharp, diffuse, or unilateral. The woman may have had a time of amenorrhea, and pregnancy may or may not already be diagnosed. A ruptured ectopic pregnancy is characterized by a sudden onset of vaginal bleeding and sharp, severe, unilateral abdominal pain. Following rupture, symptoms of significant blood loss and resulting shock may include hypotension, shoulder pain, and breast tenderness.

Question 3

What labs and tests should be done to diagnose ectopic pregnancy?

Answer 3

Tests include: TVUS, complete blood count, and β-hCG levels.

Question 4

What are the signs of ectopic pregnancy?

Answer 4

Physical findings associated with ectopic pregnancy include cervical motion tenderness, a uterus that is not enlarged, adnexal mass, and adnexal tenderness.