Ectopic Pregnancy

Question 1

● Implantation of fertilized ovum in a site other than
endometrial lining of the uterus

● May occur on the surface of the ovary or in the
cervix

● Most common site is in the fallopian tube - distal
3rd
○ Approximately 80% occur in the ampulla
○ 12% occur in the isthmus
○ 8% are interstitial or fimbriae

Answer 1

ECTOPIC PREGNANCY

Question 2

CAUSATIVE FACTORS

Answer 2

● Tubal damage - PID
● Previous tubal surgery
● Congenital anomalies of the tube
● Endometriosis
● Previous ectopic pregnancy
● Presence of an IUD

Question 3

CLINICAL MANIFESTATIONS

Answer 3

● Missed menstruation period
● Abdominal pain
● Vaginal “spotting”
● Amenorrhea
● Nausea and vomiting
● (+) pregnancy test
● (+) sharp, stabbing pain in one of her lower
abdominal quadrants at the time of rupture,
followed by scant vaginal spotting

Question 4

demonstrate the ruptured tube and blood collecting in the peritoneum

Answer 4

transvaginal sonogram

Question 5

Either a falling _____or ______________ level
suggests that the pregnancy has ended

Answer 5

1.) HCG
2.) SERUM PROGESTERONE

Question 6

can be used to visualize the fallopian tube

Answer 6

LAPAROSCOPY OR CULDOSCOPY

Question 7

If a woman waits before seeking help,

Answer 7

● Abdomen is rigid
● Cullen’s sign
● Extensive or dull vaginal or abdominal pain;