Ectopic pregnancy

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS 2025 UPDATE (GRADED A+) 25 year old female presents to the ED with "serious pain" in her lower right abdomen accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10. Her last menstrual cycle was "about one month ago". Her hCG level is 2550 and her urine pregnancy test is positive. Her UA is negative with normal specific gravity and pH. Her CBC results are normal. the nurse asks when the last men...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) what is the MC location of ectopic preg? 98% in fallopian tube, 80% in ampulla ectopic pregnancies make up what %age of all pregnancies? 1.5% what are the 3 outcomes from tubal ectopic pregnancy? 1. tubal abortion 2. tubal rupture 3 spontaneous resolution what is a tubal abortion? expulsion of products of conception through fimbriated end, tissue can regess or reimplant in abd cavity what is the biggest consequence of ...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Immediate surgical intervention is indicated for: a high hCG level, abdominal pain, vaginal bleeding, hemodynamic failure, hemoperitoneum, and syncope Stats of ectopic preg up to 2.6% of pregnancies and in 6% to 16% of women who visit the emergency department with pain or bleeding (or both) in early pregnancy ektopos out of place (Greek) How much has ectopic preg increased? sixfold since 1970, peaking in the late 19...

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 t...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) The most common place for an ectopic pregnancy to implant and mature is: a) the ovaries; b) the fallopian tubes; c) the abdomen. B Ectopic pregnancies typically present: a) 6-8 weeks post last normal menstrual period; b) 2-3 months post last normal menstrual period; c) <5 weeks post last normal menstrual period. A In the UK, ectopics occur in: a) 1.49% of pregnancies; b) 1.62% of pregnancies; c) 1.1% of pregnanci...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Pregnancy outside the endomertial cavity; AKA extrauterine Pregnancy Ectopic Pregnancy Major risk associated with ectopic pregnancy Hemorrhage due to rupture Risk factors for ectopic pregnancy PID; hx of ectopic pregnancy; prior tubal ligation; fertility drugs; In-Vitro procedures; IUD; Age; smoking Clinical signs of ectopic pregnancy Positive pregnancy test; abnormal rise in HCG levels; palpable adnexal mass; pelvic pain...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) What is the phamacologic agent of choice for medical management of ectopic? Methotrexate (MTX) MOA of methotrexate? Folic acid antagonist, interferes with DNA synthesis & cell division of actively proliferating cells What are the potential problems associated with methotrexate? - drug-related side effects (with shortterm use, usually GI - tx-related complications (temporary abdominal pain, vaginal spotting &/or bldg, incre...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) What is the relationship between IUCs and ectopic? Doesn't cause EP but if a pregnancy occurs there's a greater risk that the pregnancy is EP What type of infertility is of greatest risk for ectopic? patients with primary infertility due to tubal factors that prohibit or delay ovum transport What are some surgical risk factors for ectopic? pelvic or abdominal What kind of lifestyle factors are risk factors for ectopi...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) What is an ectopic pregnancy? implantation of a blastocyst in a location other than in the uterine cavity What are the three kinds of ectopic? Intrauterine, extrauterine, heterotopic In what location might an intrauterine ectopic occur? gestation in cervix or cornua In what location might an extrauterine ectopic occur? fallopian tube, ovary, abdomen, broad ligament In what location might an heterotopic pregnancy occur? ...

ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Chloe presents to the ED at 0615. She reports that she was awakened in the middle of the night with serious pain in her right abdomen accompanied by nausea and an episode of vomiting. Admission assessment by the RN reveals the following: T 98.4F, P 80, RR 20, BP 126/68, and pain 9/10 on the pain scale, and her LMP was "about a month ago." Her heart rate is regular, and her lungs are clear to auscultation bilaterally. Palp...