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Reproductive and sexual health > Ectopic pregnancy > Flashcards

Ectopic pregnancy Flashcards

1
Q

Most common site of an ectopic pregnancy

A

Fallopian tube

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2
Q

Predisposing factors (4)

A

Salpingitis
Previous tubal surgery or ligation
Endometriosis
IUCD

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3
Q

Clinical features of ectopic pregnancy (4)

A

Amenorrhoea
Vaginal bleeding
Lower abdominal pain
Shoulder pain

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4
Q

Signs on clinical examination (4)

A

Shock (hypotensive, tachycardic)
Peritonism (guarding, rebound tenderness, distension)
Adnexal mass
Cervical excitation

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5
Q

What is cervical excitation?

A

Significant pain upon moving the cervix in a pelvic exam. Also known as “chandelier sign”

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6
Q

How should a suspected ectopic pregnancy be investigated? (4)

A

Pregnancy test
Paired serum hCG
Ultrasound
Diagnostic laparoscopy

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7
Q

How are the results of paired serum hCG interpreted?

A

In a normal pregnancy hCG should double every day. Suboptimal in ectopic pregnancy (between 50% decline and 63% increase)

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8
Q

How is ectopic pregnancy treated? (3)

A

Salpingectomy/salpingotomy
Systemic methotrexate
If ruptured- laparotomy

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Reproductive and sexual health (65 decks)

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