Ectopic pregnancy Flashcards
1
Q
Diagnosis
A
Urine pregnancy tests may be +ve
β-hCG assay (may need serial tests) if >2000 IU/L invariably +ve. If <2000 IU/L, repeat every second day to check if increasing
Vaginal US can diagnose at 5–6 wks (empty uterus, tubal sac)
Laparoscopy (the definitive diagnostic procedure)
2
Q
Management
A
Treatment may be conservative (based on US and β-hCG assays);
- medical, by injecting intramuscular methotrexate
- laparoscopic removal; or
- laparotomy for severe cases. Rupture with blood loss (usually about 7% of cases) demands urgent surgery.
3
Q
Clinical features of ruptured ectopic pregnancy
A
