Ectopic Pregnancy Flashcards
One in which implantation occurs outside the uterine cavity
ECTOPIC PREGNANCY
Possible sites for ectopic pregnancy
- Fallopian tube
- Ovarian
- Cervical
- Abdominal
- Intramural
- Isthmic
- Cornual
- Infundibular
- When pregnancy occur in both womb & tube at the same time
HETEROTROPIC PREGNANCY
Most important cause of EP
PELVIC INFLAMMATORY DISEASE (PID)
o Tubal epithelium invades Myo salpinx, forming a diverticulum
Salpingitis Isthmic Nodosa of the tube (SIN)
partial stenosis of the tube
TUBECTOMY
removal of one or both fallopian tubes.
SALPINGECTOMY
kinking at the isthmic portion of the tube
VENTROSUSPENSION
Abnormal proliferation and then degeneration of the trophoblastic villi
GESTATIONAL TROPHOBLASTIC DISEASE
(HYDATIDIFORM MOLE)
prevents intrauterine pregnancy more effectively than tubal pregnancy
INTRA UTERINE CONTRACEPTIVE DEVICE (IUCD)
Management for H-mole
METHOTREXATE
DACTINOMYCIN
SUCTION CURRETAGE
- Abnormal trophoblast cells must be identified because they are associated with __________ (rapidly metastasizing malignancy)
CHORIOCARCINOMA
Pregnancy in which Fetus grows in pelvic cavity
ABDOMINAL PREGNANCY
Prophylactic treatment that attacks rapidly growing cells
METHOTREXATE
This medicine is ordered once metastasis occurs
DACTINOMYCIN
fistulous opening in the medial end of tube
LAPAROSCOPIC CAUTERIZATION
Zygote grows large enough to rupture slender fallopian tube or the trophoblasts cells break through the narrow base
RUPTURED EP
In a ruptured Ep, a woman experiences?
SHARP, STABBING PAIN IN ONE OF THE LOWER ABDOMINAL QUADRANTS FOLLOWED BY SCANT VAGINAL SPOTTING
If a ruptured EP occurs and the patient goes to shock, what should be done?
RESUSCITATION
If tubal rupture occurs, this is ordered by the doctor
IMMEDIATE SALPINGECTOMY
superficial bruising in the subcutaneous fat around umbilicus
CULLEN’S SIGN
If cornual rupture occurs, this is ordered by the doctor
HYSTERECTOMY
This is a prophylactic tx for H-mole that attacks rapidly growing cells like the abnormally growing trophoblastic cells
METHOTREXATE
In the cases of H-mole, this is ordered once metastasis occurs
DACTINOMYCIN
- Ideal management of H-mole to evacuate the mole inside uterus and avoid further complications
SUCTION CURRETAGE
Very rarely after an ectopic pregnancy ruptures—so rarely
that the instances are difficult to document—the products of
conception are expelled into the pelvic cavity with a minimum of bleeding
ABDOMINAL PREGNANCY
