Ectopic Pregnancy || with 100% Errorless Answers.
Definition correct answers Implantation outside the uterine cavity
Majority implant in correct answers fallopian tube
Extra tubal sites include: correct answers abdominal cavity, cervix, ovary
highest mortality correct answers Teenagers
Ectopic pregnancy (EP) is the number one cause of correct answers 1st trimester maternal death
It is the 2nd leading cause of correct answers maternal death overall
Reasons postulated for the increased incidence of ectopic pregnancy include the correct answers
increased incidence of sexually transmitted tubal infections, unsuccessful tubal sterilizations,
assisted reproductive techniques, previous pelvic surgery, and more sensitive and earlier
diagnostic techniques.
Normally: correct answers -Fertilization of the oocyte occurs in the ampullary segment of the
fallopian tube
-The zygote courses the fallopian tube and implants into the endometrium of the uterus
Ectopic - correct answers rarely have a normal placenta = higher incidence of blighted ovum
Risk factors for EP: correct answers conditions causing damage to the fallopian tube
Major Risk Factors for Ectopic Pregnancy correct answers Pelvic inflammatory disease
History of tubal surgery**
Use of intrauterine device
In utero exposure to diethylstilbestrol (DES)
Assisted reproduction techniques
ous ectopic pregnancy
Greater than 50% occur in women without correct answers risk factors.
Most occur within the fallopian tube correct answers -Blood supply to the placenta is disrupted
leading to bleeding into the fallopian tube and hematoma formation
-The hematoma and the ensuing pressure can cause protrusion through the end of the fallopian
tube or rupture through the wall
-Rupture is usually spontaneous
***Classic triad*** correct answers Abdominal pain - present in 90% of EPs
Vaginal bleeding or spotting
Amenorrhea
, Triad has low PPV; more common in correct answers other etiologies related to pregnancy*
Presentation may range from correct answers completely asymptomatic (incidental finding) to
sudden, severe abdominal pain and hypovolemic shock
ectopic pregnancy should be considered in all correct answers women of childbearing age who
present with abdominal or pelvic complaints or with unexplained signs or symptoms of
hypovolemia.
most common symptom-90% correct answers Abdominal pain
-Due to tubal distention or rupture
-Classically lateralized, sudden, sharp and severe
-ANY lateral or bilateral abdominal pain in a childbearing women needs EP consideration
-Classically lateralized, sudden, sharp and severe correct answers There may be radiation to a
shoulder-diaphragmatic irritation
The classic pain of rupture is correct answers lateralized, sudden, sharp, and severe.
Shoulder pain due to diaphragmatic irritation from correct answers a ruptured ectopic pregnancy
can also occur.
Any lateral or bilateral abdominal discomfort or tenderness in a woman of childbearing age
requires correct answers consideration of ectopic pregnancy.
History correct answers Menstrual abnormality is often noted
Vaginal bleeding-50-80%
There may be a history of pregnancies
Menstrual abnormality is often noted correct answers Amenorrhea-70% of the time*
Vaginal bleeding-50-80% correct answers Usually scant, spotting
There may be a history of pregnancies correct answers The patient may "feel pregnant"
HIGH RF correct answers Previous EP
Previous Tubal Surgery
Tubal Ligation
Tubal Pathology
In utero DES exposure
Current IUD use
MODERATE RF correct answers Infertility
Previous cervicitis
Hx of PID
Definition correct answers Implantation outside the uterine cavity
Majority implant in correct answers fallopian tube
Extra tubal sites include: correct answers abdominal cavity, cervix, ovary
highest mortality correct answers Teenagers
Ectopic pregnancy (EP) is the number one cause of correct answers 1st trimester maternal death
It is the 2nd leading cause of correct answers maternal death overall
Reasons postulated for the increased incidence of ectopic pregnancy include the correct answers
increased incidence of sexually transmitted tubal infections, unsuccessful tubal sterilizations,
assisted reproductive techniques, previous pelvic surgery, and more sensitive and earlier
diagnostic techniques.
Normally: correct answers -Fertilization of the oocyte occurs in the ampullary segment of the
fallopian tube
-The zygote courses the fallopian tube and implants into the endometrium of the uterus
Ectopic - correct answers rarely have a normal placenta = higher incidence of blighted ovum
Risk factors for EP: correct answers conditions causing damage to the fallopian tube
Major Risk Factors for Ectopic Pregnancy correct answers Pelvic inflammatory disease
History of tubal surgery**
Use of intrauterine device
In utero exposure to diethylstilbestrol (DES)
Assisted reproduction techniques
ous ectopic pregnancy
Greater than 50% occur in women without correct answers risk factors.
Most occur within the fallopian tube correct answers -Blood supply to the placenta is disrupted
leading to bleeding into the fallopian tube and hematoma formation
-The hematoma and the ensuing pressure can cause protrusion through the end of the fallopian
tube or rupture through the wall
-Rupture is usually spontaneous
***Classic triad*** correct answers Abdominal pain - present in 90% of EPs
Vaginal bleeding or spotting
Amenorrhea
, Triad has low PPV; more common in correct answers other etiologies related to pregnancy*
Presentation may range from correct answers completely asymptomatic (incidental finding) to
sudden, severe abdominal pain and hypovolemic shock
ectopic pregnancy should be considered in all correct answers women of childbearing age who
present with abdominal or pelvic complaints or with unexplained signs or symptoms of
hypovolemia.
most common symptom-90% correct answers Abdominal pain
-Due to tubal distention or rupture
-Classically lateralized, sudden, sharp and severe
-ANY lateral or bilateral abdominal pain in a childbearing women needs EP consideration
-Classically lateralized, sudden, sharp and severe correct answers There may be radiation to a
shoulder-diaphragmatic irritation
The classic pain of rupture is correct answers lateralized, sudden, sharp, and severe.
Shoulder pain due to diaphragmatic irritation from correct answers a ruptured ectopic pregnancy
can also occur.
Any lateral or bilateral abdominal discomfort or tenderness in a woman of childbearing age
requires correct answers consideration of ectopic pregnancy.
History correct answers Menstrual abnormality is often noted
Vaginal bleeding-50-80%
There may be a history of pregnancies
Menstrual abnormality is often noted correct answers Amenorrhea-70% of the time*
Vaginal bleeding-50-80% correct answers Usually scant, spotting
There may be a history of pregnancies correct answers The patient may "feel pregnant"
HIGH RF correct answers Previous EP
Previous Tubal Surgery
Tubal Ligation
Tubal Pathology
In utero DES exposure
Current IUD use
MODERATE RF correct answers Infertility
Previous cervicitis
Hx of PID
