METHODS: This was a prospective cohort study enrolling all patients in the first trimester of pregnancy presenting to the ED with abdominal pain and/or vaginal bleeding. [ncbi.nlm.nih.gov]

• Rectal Pain

  pain are reported Vagal stimulation from intra-peritoneal blood can present as hypotension and bradycardia Selected Differential Considerations: OB/GYN conditions: Spontaneous abortion (of normal IUP), septic abortion, early normal IUP, ovarian cyst, [coreem.net]

• Right Shoulder Pain

  George, Utah ACCOMPANIED BY HER HUSBAND, Tiffany Blackmore, 31, arrives at your ED complaining of severe lower abdominal and right shoulder pain. [journals.lww.com]

The most critical step in beginning the workup is to have a high clinical suspicion for ectopic pregnancy (eg, in any woman of childbearing age). [emedicine.medscape.com]

Our case shows that non-operative treatment of a ruptured ectopic pregnancy may be a possible non-invasive treatment option in highly selected patients. [ncbi.nlm.nih.gov]

Almost all ectopic pregnancies will require treatment. [verywell.com]

Prognosis The prognosis for an ectopic pregnancy is excellent if treated before rupture. Long-term prognosis depends most on any associated complications. Copyright 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. [clinicaladvisor.com]

Treatment and prognosis IV heparin angioplasty /- stenting catheter-directed thrombolysis surgical thrombectomy Complications significant risk of massive pulmonary embolism, even with anticoagulation 40-60% develop gangrene of the periphery 3 due to increased [radiopaedia.org]

The prognosis (outlook) for future pregnancies depends on the extent of the surgery. If the Fallopian tube has been spared, the chance of a successful pregnancy is usually better than 50%. [medicinenet.com]

Ectopic pregnancy: etiology, pathology, diagnosis, management, fertility prognosis. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 17. Nelson AL, Gambone JC. [medlineplus.gov]

We report 2 episodes of hemoperitoneum in a PD patient occurring more than 1.5 years apart, with different underlying etiologies. [ncbi.nlm.nih.gov]

Objectives • Describe the anatomy & physiology of female reproductive system • Discuss the etiology & pathophysiology of REP • Discuss the anaesthetic consideration of patient undergoing surgery due to REP • Discuss the anesthetic management of patient [slideshare.net]

Definition / general Implantation of fertilized egg within fallopian tube Epidemiology Estimated prevalence of 1 in 40 pregnancies (25 cases per 1000 pregnancies); US incidence 2% Approximately 85 - 90% occur in multigravid women Rates are nearly twice [pathologyoutlines.com]

Epidemiology DVT affects as many as 2 million Americans every year. The majority of patients are treated medically, with anticoagulation being the mainstay of therapy to promote thrombus resolution and prevent propagation and embolization. [emedicine.medscape.com]

This was an epidemiological study and the diagnosis of bruxism was based on self-report questionnaires, representing the lower (‘possible’) grade of bruxism diagnosis (1, 2). [frontiersin.org]

Epidemiology The number of ectopic pregnancies has increased dramatically in the past few decades. [aafp.org]

[…] surgery. [44] In comparison, the cumulative pregnancy rate of women under 40 years of age in the general population over two years is over 90%. [45] In case of ovarian ectopic pregnancy, the risk of subsequent ectopic pregnancy or infertility is low. [46] Epidemiology [en.wikipedia.org]

Objectives • Describe the anatomy & physiology of female reproductive system • Discuss the etiology & pathophysiology of REP • Discuss the anaesthetic consideration of patient undergoing surgery due to REP • Discuss the anesthetic management of patient [slideshare.net]

The pathophysiology involves antiphospholipid antibodies binding to β 2 -glycoprotein I, which then bind to glycoprotein Iba on platelets, monocytes, and endothelial cells. [apicareonline.com]

The pathophysiological changes caused by the SCI must be kept in mind while evaluating the patient. [nature.com]

[…] women ( MMWR Surveill Summ 2003;52:1 ) Any woman with functioning ovaries (menache to menopause) can potentially have an ectopic pregnancy; women 40 years have adjusted odds ratio of 2.9 Sites Ampulla ( 80%), isthmus (12%), fimbriae (5%), cornu (2%) Pathophysiology [pathologyoutlines.com]

[…] are not as helpful. return to top Differential Diagnosis Other possible conditions include: normal pregnancy appendicitis urinary tract infection ovarian torsion ovarian cyst salpingitis ruptured corpus luteum cyst threatened abortion return to top Pathophysiology [sharinginhealth.com]

Early prenatal care is critical to diagnose an ectopic pregnancy and prevent it from rupturing. Current as of: September 5, 2018 Author: Healthwise Staff Medical Review: Sarah A. [myhealth.alberta.ca]

Early prenatal care is critical to diagnose an ectopic pregnancy and prevent it from rupturing. Current as of: November 21, 2017 Author: Healthwise Staff Medical Review: Sarah A. [metrohealth.net]

Cyclizine • Dexamethasone administration also prevents POVN 39. [slideshare.net]

Hypothermia was prevented using IV fluid warmer and active convective warming of the patient. The emergence, extubation and recovery were uneventful. The vital signs after extubation were HR 87/min, BP 116/54 mmHg, RR 13/min, SpO2 98% on FiO2 0.35. [apicareonline.com]

Scarring in the tube prevents the normal passage of the fertilized egg through the tube and into the uterus where a healthy pregnancy takes place. [verywell.com]