Ectopic Pregnancy Flashcards Preview

OB/GYN > Ectopic Pregnancy > Flashcards

Flashcards in Ectopic Pregnancy Deck (16)
0

What are a few causes for inc risk for ectopics

Endometriosis
Pelvic Inflammatory Disease
Ovarian Tumor
IUDS (Intra Uterine Device)
Previous Fallopian Tube Surgery
IVF (In Vitro Fertilization)
Inc age and parity
Cesarean Section

1

Differentiating cervical ectopic from inevitable abortion (miscarriage)

Ectopic preg GS will have a ring around it

2

Ectopic

Pregnancy outside of endo cavity

Inc risk with infertility treatments, PID, hx of ectopics, tube surgery, endometriosis, IUD, miscarriage, adnx mass

Leading cause of maternal death, 10xs more than child birth

95% in Fallopian tube.
Other sites: cervix, abdomen, cornu, ovary

FF

3

Heterotopic pregnancy

IUP & ectopic

4

Clinical Triad

Pain
Abnl bleed
Adnexal mass

5

HCG

Plateau or sub normal
800-1000mIU/ml shows gest sac
Inc serum amylase if rupture

6

Desidual Cyst Sign

1-5 mm cyst in endo & close to myometrium.

7

Pseudogestational sac sign

Looks like GS without double sac sign. Not in endo.

8

Adnexal ring sign

Adnexal mass

9

Interstitial string sign

Line from endo to sac

10

Fluid

CDS fluid, also in Morison's Pouch

11

Cornu/Interstitial ectopic

Very dangerous. Massive hemorrhage. Highly vascular.

12

Rupture occurs

6-12wks

13

Ectopic > 12 wks

Abdominal pregnancy

14

Most frequent US finding

Adnexal mass & ff

15

95% of ectopics in

Fallopian tube. Tubal pregnancy