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Ectopic Pregnancy

 Syn. Extrauterine Pregnancies , Tubal pregnancy , EP

Signs & Symptoms

 Abdominal pain
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
Amenorrhea more than 4 weeks
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
First-trimester vaginal bleeding
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
Amenorrhea preceded vaginal bleeding
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]

Physical Examination

 Adnexal mass
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
Breast tenderness
Note: due to Normal pregnancy discomforts
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
Orthostatic changes
Note: Vital signs may reveal orthostatic changes
Ref: Uptodate [ Differential diagnosis of abdominal pain in adults]

Lab / Serology

 High beta hCG
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
High hCG
Ref: Uptodate [ Diagnostic approach to abdominal pain in adults] Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
Lower abdominal tenderness
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]

Imagin Study

 Extraovarian adnexal mass in transvaginal ultrasound
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
No intrauterine pregnancy on transvaginal ultrasound
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]

Complication

Risk Factors

 Ectopic pregnancy
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
Tubal surgery
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]
Sterilization
Ref: Uptodate [ Ectopic pregnancy: Clinical manifestations and diagnosis]

Cause

Other