Ruptured Ectopic Pregnancy

Question 1

What is ectopic pregnancy?

Answer 1

Implantation of fertilized egg outside the uterine cavity

Question 2

Risk factor of Ectopic pregnancy?

Answer 2

• history of EP
• IUCD
• PID
• treatment for infertility
• hx of tubal surgery

Question 3

What is the symtptoms of ruptured Ectopic pregnancy

Answer 3

-short period of ammenorhea present with andomimal pain, +/- shock,+/- vaginal bleeding, anemic, tachycardia, hypotensive

Question 4

What condition causing cervical excitation

Answer 4

-endometriosis
-PID
-Ectopic pregnancy

Question 5

What is the sign of Ectopic pregnancy?

Answer 5

General
- toxic looking
-tachycardia
-low BP

Per Abdominal
- distention
- rebound tenderness,

Per vaginal
- +/- blood
- postive cervical excitation

Question 6

What is the management of ruptured ectopic pregnancy?

Answer 6

Investigation
- baseline ( fbc, gsm, gsh, sterotyping, rh, coag profile)
-serum beta hcg
- USG (free fluid- blood)

Treatment
-Resus, In case of shock, fluid reasus
- Laparotomy