Term
| most common site of ectopic pregnancies |
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Definition
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Term
| tubal pregnancies usually become symptomatic around _-_ wks |
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Definition
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Term
| 2% of ectopic pregnancies are placed in this region and are the most serious. when does these pregnancies become symptomatic? |
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Definition
| cornual pregnancy (where the fallopian tube meets the uterus) becomes sx around 12-14wks |
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Term
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Definition
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Term
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Definition
1. tubal abn (PID/endometriosis)
2. Abn zygote
3. endocrine d/o (delayed ovulation)
4. IUDs
5. contraceptive pills |
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Term
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Definition
1. pain
2. abn menses
3. uterine changes (placental hmones cause uterine growth)
4. BP/Pulse (hypoTN/tachy w rupture)
5. Temp (normal or low w rupture)
6. Pelvic mass (palpable n 20%) |
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Term
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Definition
| used to ID hemoperitoneum; if blood clots may be from perforated blood vessel, if it doesn't clot then = hemoperitoneum |
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Term
| serum progesterone >25ng/ml: confirm or exclude ectopic |
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Definition
| excludes with 97% sensitivity |
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Term
| methods in identifying ectopic pregnancy: lab, imaging |
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Definition
1. HCG Quant
2. progesterone level
3. US (transvag or normal) |
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Term
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Definition
1. laproscopy
2. tubal surgery (including salpingostomy/otomy/ectomy)
3. methotrexate (chemotherapeutic) |
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Term
| contraindications to MTX: |
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Definition
1. hemorrhage
2. not for mass >4cm or >6wks
3. breastfeeding
4. immuno deficient
5. alcoholism,
6. liver/kidney dz |
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