Ectopic Pregnancy

Question 1

Where is the most common site of implantation?

Answer 1

Ampulla

Question 2

What is the more significant symptom. Bleeding or pain?

Answer 2

Pain - period like pain

Question 3

If patient has deteriorating symptoms, is known to be pregnant, has abdominal/pelvic pain so bad it requires opiates. What should be done?

Answer 3

Urgently refer to senior gynae

Question 4

Beyond the abdominal/pelvic region where else can pain be felt?

Answer 4

Shoulder tip pain - strange unknown reason why

Question 5

What may you find on examination?

Answer 5

Pallor
Low BP
Peritonism - rigidity, rebound tenderness
Guarding and tenderness

Question 6

How does management change if patient is stable with low bhCG than if she is unwell?

Answer 6

Stable - methotrexate injection

Unwell - laparoscopic salpingectomy

Question 7

What support group is good to refer people to?

Answer 7

Ectopic Pregnancy Trust

Question 8

Ectopic pregnancies in what part of the Fallopian tube is most likely to rupture?

Answer 8

Isthmus - narrowest part of the Fallopian tube

Question 8

Ectopic pregnancies in what part of the Fallopian tube is most likely to rupture?

Answer 8

Isthmus - narrowest part of the Fallopian tube