ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
at least ___% of ectopic pregnancies are misdiagnosed at the first presentation
40
Discriminatory zone
level of HCG at which a gestational sac in the uterus should be visible by TVUS.
usually 2000
most common cause of maternal death in the first trimester
ECTOPIC PREGNANCY
msto ectopic pregnancies are where?
in the uterine tube
the incidence in the US has risen with the increased incidence of ?
chlamydial infections
tubal abortion
conceptus sent out tube into abdominal cavity where it dies
spontaneous resolution of tubal pregnancy
conceptus dies and is expelled vaginally
3 consequences of tubal pregnancy if no intervention
tubal abortion
spontaneous resolution
tubal rupture
3 locations of tubal pregnancies
fimbriae/infudibulum
ampulla
isthmus
ectopic pregnancy accounts for ___% of all pregnancies
2
biggest risk factors for tubal pregnancy
previous tubal surgery
tubal pathology
, moderate risk factors for tubal pregnancy
current IUD
infertility
cervicitis
PID
multiple sex partners
smoking
progesterone only BC
IVF
hormones that induce ovulation
low risk factors for tubal pregnancy
pervious pelvic surgery
previous abdominal surgery
douching
first sex <18
Classic presentation of ectopic pregnancy
female patient of reproductive age with a positive urine or serum HCG and one or both of the following:
vaginal bleeding
lower abdominal or pelvic pain
typical presentation of ectopic pregnancy is at ___-____ weeks after first day of LMP
6-8
As many as ___% of women with a tubal ectopic pregnancy present with rupture
50
Pain usually associated with ectopic pregnancy
severe lower quadrant pain
shoulder pain (blood in peritoneum)
urge to defecate
hypotension/tachycardia
Pelvic exam looking for ectopic pregnancy
real out vaginal/cervical causes for bleeding
palpate adnexa very gently as to not rupture
uterus may be enlarged
CBC in ectopic pregnancy
anemia and increased WBC
Labs to run if suspected ectopic pregnancy
LATEST UPDATE (GRADED A+)
at least ___% of ectopic pregnancies are misdiagnosed at the first presentation
40
Discriminatory zone
level of HCG at which a gestational sac in the uterus should be visible by TVUS.
usually 2000
most common cause of maternal death in the first trimester
ECTOPIC PREGNANCY
msto ectopic pregnancies are where?
in the uterine tube
the incidence in the US has risen with the increased incidence of ?
chlamydial infections
tubal abortion
conceptus sent out tube into abdominal cavity where it dies
spontaneous resolution of tubal pregnancy
conceptus dies and is expelled vaginally
3 consequences of tubal pregnancy if no intervention
tubal abortion
spontaneous resolution
tubal rupture
3 locations of tubal pregnancies
fimbriae/infudibulum
ampulla
isthmus
ectopic pregnancy accounts for ___% of all pregnancies
2
biggest risk factors for tubal pregnancy
previous tubal surgery
tubal pathology
, moderate risk factors for tubal pregnancy
current IUD
infertility
cervicitis
PID
multiple sex partners
smoking
progesterone only BC
IVF
hormones that induce ovulation
low risk factors for tubal pregnancy
pervious pelvic surgery
previous abdominal surgery
douching
first sex <18
Classic presentation of ectopic pregnancy
female patient of reproductive age with a positive urine or serum HCG and one or both of the following:
vaginal bleeding
lower abdominal or pelvic pain
typical presentation of ectopic pregnancy is at ___-____ weeks after first day of LMP
6-8
As many as ___% of women with a tubal ectopic pregnancy present with rupture
50
Pain usually associated with ectopic pregnancy
severe lower quadrant pain
shoulder pain (blood in peritoneum)
urge to defecate
hypotension/tachycardia
Pelvic exam looking for ectopic pregnancy
real out vaginal/cervical causes for bleeding
palpate adnexa very gently as to not rupture
uterus may be enlarged
CBC in ectopic pregnancy
anemia and increased WBC
Labs to run if suspected ectopic pregnancy
