Ectopic Pregnancy Flashcards
1
Q
What is an ectopic pregnancy?
A
Pregnancy implanting outside uterus most commonly in Fallopian tube
2
Q
What increases risk of Ectopic pregnancy? (5)
A
Previous Ectopic
Previous PID
Previous Surgery
Older
Smoke
3
Q
Shoulder tip pain in ectopic pregnancy should make me think of?
A
Peritonitis
4
Q
How to diagnose Ectopic?
A
Transvaginal Ultrasound Scan
Beta HCG Bloods
5
Q
How to manage ectopic pregnancy expectantly? (5)
A
When no visible heartbeat
No pain
HCG <1500
Unruptured
6
Q
How to manage ectopic pregnancy medically? (5)
A
With methotrexate when
HCG <5000
Confirmed absence on US Scan
No pregnancy for 3 months
GI Upset
7
Q
How to manage ectopic pregnancy surgically? (4)
A
Pain
Mass
Heartbeat
HCG >5000
