Ectopic Pregnancy Flashcards
If you have high pitched bowel sounds, what is the likely cause?
Obstructive process
If you have absent bowel sounds, what is a likely cause?
Ileus
What is McBurney’s point tenderness specific for?
Appendicitis
What is Murphy’s sign?
Inhale with fingers under right rib cage (Cholecystitis)
What is Rosvig’s sign for?
Appendicitis
What is a positive flid wave for?
Ascities
What has pain produced by a valsalva maneuver?
Hernia
What is the Psoas/Obturator sign for?
Appendicitis
What does a perforated viscus look like on physical exam?
Tense, protuberant abdomen
Tympanitic to percussion
What type of ultrasound is best for a suspected ectopic pregnancy?
Transvaginal ultrasound
Where are the most common places for ectopic pregnancies?
55% Oviduct ampulla
25% Oviduct isthmus
17% oviduct fimbria
3% abdominal cavity
What is the most logical explanation for increasing frequency of ectopic pregnancy?
Previous pelvic infection
What are some risk factors for ectopic pregnancy?
PID Prior ectopic preg Tubal ligation Fertility treatment Increasing age Smoking Endometriosis Birth defects of tubes
What are the most common symptoms of ectopic pregnancy?
Abdominal pain
Amenorrhea
Palpable adnexal mass
Bleeding/spotting
How long after LMP do symptoms usually present for ectopic pregnancy?
6-8 weeks
