Ectopic Pregnancy Part 1 Flashcards
Desidua vera
Decidua without differentiated basalis capsularis and parietalis
Most common site of ectopic pregnancy
Fallopian tube
Most common and least common site of ectopic pregnancy in fallopian tube?
Ampulla m/c
Isterstitium L/c
Ectopic pregnancy in which part last longest
Intertitium part of fallopian tube
Ectopic pregnancy ends earliest in which part
Isthmus
Most dangerous site of ectopic pregnancy with increase chances of bleeding
Interstitium of fallopian tube
Most common non-tubul site of ectopic pregnancy
Ovaries
Which ectopic pregnancy last longest?
Abdominal ectopic
Most common site of rupture of fallopian tube due to ectopic pregnancy
Isthmus
Criteria for cervical ectopic pregnancy
Paalman criteria
Criteria for ovarian ectopic pregnancy
Spiegelberg criteria
Criteria for primary abdominal ectopic pregnancy
Studdiford criteria
Failure of contraceptive increases the chances of ectopic pregnancy, true or false
True
Triad seen in ectopic pregnancy
1)Amenorrhea
2)Pain in abdomen(most specific)
3)Bleeding per vagina
Case of ectopic pregnancy, when is upper/mid abdominal pain is seen
In case of hemoperitoneum due to ruptured ectopic
What is Danforth sign
Shoulder tip pain due to irritation of the diaphragm
Seen in Ruptured ectopic due to hemoperitoneum
Pain due to ruptured ectopic due to stretching of fallopian and tube is transmitted via which nerves
T11, T12, L1
What are the localising signs seen in ectopic pregnancy?
Rigidity
Guarding
Criteria for diagnosis of ruptured ectopic pregnancy
Triad of ectopic plus anyone of the following?
1)shoulder tip, pain
2)urge to dedicate
3)orthostatic hypotension
What is the most significant per vaginal finding in case of ruptured ectopic
Cervical motion tenderness due to peritonitis
If you’re suspecting ruptured ectopic, and if rigidity and guarding is not present, what is your next approach?
FAST USG scan
What is CULDOCENTESIS? What is its procedure?
It is a investigation method done in ruptured ectopic pregnancy
Procedure
The syringe is introduced into the pouch of Douglas via the posterior fornix.
Blood is aspirated
If blood clot needle is in the blood vessel
If blood does not clot needle is in the pouch of Douglas and this indicates hemoperitoneum
Surgical management of ruptured ectopic pregnancy
Salpingectomy irrespective of family completion
