Ectopic pregnancy Flashcards
1
Q
Definition
A
Implantation of the fertilised egg outside the uterine cavity
2
Q
Risk Factors
A
Previous ectopic Previous tubal surgery Use of IUCDs Smoking >20/day Previous pelvic or abdominal infections Previous pelvic surgery
3
Q
Clinical Features
A
Pain - lower abdominal, initially colicky, then constant
Abnormal vaginal bleeding - scanty, dark
Syncope and shoulder tip pain - intraperitoneal blood loss
Tachycardia, hypotension
Abdominal rebound tenderness, guarding
Cervical excitation (movement of uterus causes pain)
4
Q
Investigations
A
Urine pregnancy test US Serum hCG Full blood count, group and save Laparoscopy
5
Q
Management
A
Conservative - uncertain diagnosis, asymptomatic patient
Medical - methotrexate
Surgical - open or laparoscopic salpingostomy or salpingectomy
Pre- and post-treatment counselling
