ectopic pregnancy Flashcards
most ectopic pregnancies occur where?
tubal (ampullary > isthmic)
ectopic pregnancies represent ___% of all pregnancies, and the rate is ____
2%; increasing
ectopic pregnancies are the most common cause of ______pregnancy related deaths
1st trimester
___% pregnancy related deaths are due to ectopic pregnancies
9
risk factors for ectopic pregnancy (4)
- prior ectopic
- tubal surgery
- tubal ligation
- intrauterine device
common presentation of ectopic pregnancy (2)
- 1st trimester bleeding
2. abd/pelvic pain
quantitative BHCG of ____can be used to dx ectopic pregnancy
1500-2000
why do a BHCG level in w/u ectopic pregancy
determine if need for U/S
if progesterone under____, it is probably not a normal pregnancy
5
if progesterone ____, it is probably a normal pregnancy
> 25
HCB of ___, should be able to visualize gestational sac with TVUS
2500
HCB of ___, should be able to visualize gestational sac with abd US
6000
medical management of ectopic pregnancy
methotrexate
contraindications to use of methotrexate (7)
- breastfeeding
- immune deficiency
- chronic liver disease
- pre-existing blood dyscrasias
- drug sensitivity
- acute pulm disease
- peptic ulcer disease
methotrexate not as effective in masses >____
3.5 cm
