Ectopic Pregnancy Flashcards

1
Q

An _______ pregnancy occurs when the embryo implants somewhere other than the uterus

A

Ectopic Pregnancy

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2
Q

T/F: An ectopic pregnancy is a life-threatening condition

A

True

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3
Q

Up to __% of pregnancies are ectopic

A

2%

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4
Q

The fallopian tube is the site of about __% of ectopic pregnancies

A

95%

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5
Q

Where is the most common site of ectopic pregnancy?

A

Ampulla

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6
Q

What are traumatic risk factors for ectopic pregnancies?

A

Surgery (Salpingoplasty)

Tubal Reversal following Ligation

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7
Q

What is an example of an inflammatory risk factor for ectopic pregnancy?

A

PID with Gonorrhea/Chlamydia

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8
Q

T/F: Endometriosis is NOT a risk factor for ectopic pregnancy

A

False

it is a risk factor

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9
Q

Does an IUD increase the risk for an ectopic pregnancy?

A

Yes

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10
Q

T/F: A tubal pregnancy does not usually proceed beyond 8-10 weeks

A

True

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11
Q

What is a tubal abortion?

A

The gestational sac (most commonly implanted in the ampulla) is expelled into the peritoneal cavity

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12
Q

Which has the chance of more bleeding…..

Tubal Abortion or a Tubal Rupture?

A

Tubal Rupture

***This is a life-threatening condition

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13
Q

What is the classic TRIAD of ectopic pregnancy?

A

Absence of regular menses
Lower Abdominal Pain/Pelvic Pain
Vaginal Bleeding

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14
Q

Less than __% of patients will actually manifest the TRIAD of ectopic pregnancy?

A

Less than 50%

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15
Q

Why do patients with ectopic pregnancies still have vaginal bleeding?

A

The progesterone effect…..

The lining of the uterus eventually outgrows the blood supply and sheds

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16
Q

What are unique findings of the vaginal examination in a patient with an ectopic pregnancy?

A

CMT

Unilateral Pelvic Mass (Usually Soft, Non-tender)

17
Q

What percent of patients with an ectopic pregnancy give no history of amenorrhea due to post-conceptional bleeding?

A

25%

18
Q

When do most patients become symptomatic for ectopic pregnancies?

A

Suddenly when shock or rupture occur

19
Q

What is the most common management of ectopic pregnancies?

A

Surgery!

20
Q

Are there medical management options for an ectopic pregnancy?

A

Yes, but not everyone is a candidate….

Methotrexate 50mg/kg and trend bHCG…..may still require surgery

21
Q

What are THREE contraindications to medical management of ectopic pregnancies?

A
  1. FCA on Ultrasound
  2. Initial beta-HcG >5000
  3. Size > 4.0 cm on US