Ectopic pregnancy Flashcards
1
Q
what is it?
A
when fertilised egg is implanted outside uterus, most often in fallopian tube
2
Q
when does it usually present?
A
around weeks 6-8
3
Q
risk factors?
A
- previous PID
- previous tubal surgery / EP
- IUD
- IVF
4
Q
pathophysiology
A
implantation in tube and subsequent invasion into muscularis layer–> rupture and bleeding into abdo cavity
5
Q
presentation?
A
- lower abdominal pain & tenderness
- light vaginal bleeding
- cervical excitation
6
Q
what do NICE criteria recommend not to do in suspected EP?
A
palpate adnexa as may cause rupture
7
Q
Ix?
A
- TVUS
- confirm absence of pregnancy in uterus
- HCG & progesterone
- FBC
- Group & save + cross match
8
Q
Mx?
A
- haemodynamically stable, minimal symptoms & no bleeding
- IM Methotrexate
- anyone else –> surgery
- salpingectomy /salpingotomy
