Ectopic Pregnancy Flashcards
1
Q
any female with vaginal bleeding, positive hCG and abdominal pain is _________ until proven otherwise?
A
Ectopic Pregnancy
2
Q
risk factors for ectopic pregnancy include a history of what?
A
infertility
PID
ruptured appendix
tubal surgery
(and definitely some contraceptives although not in the TG in this section)
3
Q
signs and sx of ectopic pregnancy?
A
severe LLQ pain
sudden, stabbing, intermittent, does not radiate.
backache
Adnexal tenderness
shock
2/3 of patients have a history of abnormal menstruation
4
Q
Treatment for ectopic pregnancy?
A
MEDEVAC
Laparoscopy (indicated for patient who is unstable or has a rupture)
Methotrexate 50mg for a stable patient