Ectopic Pregnancy Flashcards
An _______ pregnancy occurs when the embryo implants somewhere other than the uterus
Ectopic Pregnancy
T/F: An ectopic pregnancy is a life-threatening condition
True
Up to __% of pregnancies are ectopic
2%
The fallopian tube is the site of about __% of ectopic pregnancies
95%
Where is the most common site of ectopic pregnancy?
Ampulla
What are traumatic risk factors for ectopic pregnancies?
Surgery (Salpingoplasty)
Tubal Reversal following Ligation
What is an example of an inflammatory risk factor for ectopic pregnancy?
PID with Gonorrhea/Chlamydia
T/F: Endometriosis is NOT a risk factor for ectopic pregnancy
False
it is a risk factor
Does an IUD increase the risk for an ectopic pregnancy?
Yes
T/F: A tubal pregnancy does not usually proceed beyond 8-10 weeks
True
What is a tubal abortion?
The gestational sac (most commonly implanted in the ampulla) is expelled into the peritoneal cavity
Which has the chance of more bleeding…..
Tubal Abortion or a Tubal Rupture?
Tubal Rupture
***This is a life-threatening condition
What is the classic TRIAD of ectopic pregnancy?
Absence of regular menses
Lower Abdominal Pain/Pelvic Pain
Vaginal Bleeding
Less than __% of patients will actually manifest the TRIAD of ectopic pregnancy?
Less than 50%
Why do patients with ectopic pregnancies still have vaginal bleeding?
The progesterone effect…..
The lining of the uterus eventually outgrows the blood supply and sheds
What are unique findings of the vaginal examination in a patient with an ectopic pregnancy?
CMT
Unilateral Pelvic Mass (Usually Soft, Non-tender)
What percent of patients with an ectopic pregnancy give no history of amenorrhea due to post-conceptional bleeding?
25%
When do most patients become symptomatic for ectopic pregnancies?
Suddenly when shock or rupture occur
What is the most common management of ectopic pregnancies?
Surgery!
Are there medical management options for an ectopic pregnancy?
Yes, but not everyone is a candidate….
Methotrexate 50mg/kg and trend bHCG…..may still require surgery
What are THREE contraindications to medical management of ectopic pregnancies?
- FCA on Ultrasound
- Initial beta-HcG >5000
- Size > 4.0 cm on US
