Ectopic Pregnancy Flashcards
1
Q
define
A
normal embryo implanted out-with the uterus
2
Q
sites of potential ectopics?
A
fallopian tubes
ovary
peritoneum
3
Q
presentation of ectopic
A
unilateral PAIN
bleeding
dizziness/ collapse/ shoulder tip pain (diaphragm referred pain)
SOB
4
Q
findings in ectopic
A
pallor
haemodynamic instability
peritonism signs
guarding tenderness
5
Q
diagnosis of ectopic
A
FBC G&S (rhesus status) b-hCG (static) TVUS (donut sign) abdominal USS (beware in twin pregnancies)
6
Q
risk factors
A
previous tubal damage IUCD smoking infertility age
7
Q
management of ectopic
A
surgery (anti-D)
salpingectomy
medical= methotrexate
conservative
8
Q
what is PUL?
A
pregnancy of unknown location
9
Q
presentation of PUL
A
amenorrhoea
abdominal pain
no evidence of pregnancy but hCG confirms
10
Q
management of PUL
A
methotrexate if no deterioration
follow-up
