Notes in 02_Ectopic Pregnancy

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Published	02/10/2024	An {{c1::Ectopic pregnancy}} is when a pregnancy is implanted outside the uterus, commonly in the {{c2::Ampulla}} of the fallopian tube
Published	02/10/2024	Presentation of {{c2::Ectopic Pregnancy}} {{c1::Acute lateralising pelvic pain}} {{c1::Missed a period (Amenorrhoea)}} {{c1::Vaginal spotting or bleed…
Published	02/10/2024	Risk Factors of Ectopic Pregnancy (TIPS){{c1::Pelvic inflammatory disease}} {{c1::Uterine surgery}} {{c1::IUD}} {{c1::Smoking}}
Published	02/10/2024	A {{c1::pregnancy of unknown location (PUL)}} is when the woman has a positive pregnancy test (B-hCG >1500 IU/L) without evidence of pregnancy…
Published	02/10/2024	Investigation of Choice for Ectopic Pregnancy is {{c1::Transvaginal ultrasound}}
Published	02/10/2024	Investigations Other Than Ultrasound done for Ectopic Pregnancy {{c1::Pregnancy test}} {{c1::b-hCG levels (If diagnostic uncertainty, tracked over 48 …
Published	02/10/2024	b-hCG levels increase by over {{c1::66}}% in a {{c2::normal pregnancy}} over a period of 48 hours
Published	02/10/2024	b-hCG levels decrease by over {{c1::50}}% in a {{c2::miscarriage}} over a period of 48 hours
Published	02/10/2024	A transvaginal ultrasound of an {{c2::Ectopic Pregnancy}} may show: {{c1::A gestational sac containing a yolk sac or fetal pole in the …
Published	02/10/2024	Expectant Management of Ectopic PregnancyIf patient is systematically {{c2::well}}, tubal mass {{c2::<3.5}} cm and serum b-hCG …
Published	02/10/2024	Medical Management of Ectopic PregnancyIf there is no sign of {{c2::rupture (i.e. no significant pain or systematically unwell)}}, tubal mass {{c2::&l…
Published	02/10/2024	Surgical Management of Ectopic PregnancyIf the woman presents with {{c2::significant pelvic pain}} and is systematically {{c2::unwell (i.e. sign of ru…
Published	02/10/2024	{{c1::Laparoscopic salpingotomy}} may be considered instead of salpingectomy if there is risk of {{c2::infertility}}
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