ECTOPIC Flashcards

1
Q

leading cause of maternal death

A

ectopic

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2
Q

ectopic defined

A

pregnancy not implanted within endometrium

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3
Q

ectopis classic triad

A

pain, abnormal vaginal bleeding, palpable adnexal mass

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4
Q

differential D to ectopic

A

PID, dysfunctional uterine bleeding, spontaneous abortion, ovarian cysts

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5
Q

risks of ectopic (8)

A
abnormal tube
tube surgery
tube pregnancy
PID
IUD
increas maternal age
increased parity 
C-section
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6
Q

Fertility treatment is more or less likely to be ectopic

A

more

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7
Q

What is important in diagnosis ectopic

A

serial hCG levels (will be lower than normal)

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8
Q

for a pregnancy to be intrauterine we must see

A

gestational sac

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9
Q

most common reason for death from ectopic

A

bleeding

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10
Q

where do ectopic occur most

A

ampulla or isthmus

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11
Q

what ectopics cause the biggest bleed (3)

A

intramural, cervix and ovary

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12
Q

intramural (cornual ectopic) gives what sign

A

interstitial line sign

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13
Q

Cervical scar implantation has what at implantation site

A

increased vascularity

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14
Q

what destinguishes cervical implantation from incomplete abortion

A

incomplete aboriton is nonvascular

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15
Q

specific findings of ectopic

A

live fetal pole

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16
Q

ectopic in ovary could look like

A

corpus luteum

17
Q

ruptured ectopic coulf cause fluid in

A

morrisons pouch

18
Q

non specific findings of ectopic

A

donut, decidual reaction, free fluid

19
Q

heterotropic gestation more common with

A

IVF