Presentation
A case of heterotopic pregnancy after spontaneous conception with abortion of the intrauterine pregnancy and subsequent rupture of the ectopic pregnancy is presented. [ncbi.nlm.nih.gov]
Case Report She was a 38 year old Para 3 +1, 3 alive who presented with a 10 weeks history of amenorrhea and history of 6 weeks lower abdominal pains which became generalized and persistent 2 days prior to presentation. [omicsonline.org]
Gastrointestinal
- Rectal Pain
Referred pain Diaphragmatic irritation from free blood in the peritoneal space may present as shoulder pain Referred neck or rectal pain are reported Vagal stimulation from intra-peritoneal blood can present as hypotension and bradycardia Selected Differential [coreem.net]
Workup
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]
Treatment
The success was due to a correct diagnosis accompanied with prompt treatment and quick recognition of the etiology. [ncbi.nlm.nih.gov]
Clinical diagnosis and treatment of ectopic pregnancy. Obstet Gynecol Surv 2013;68(8):571-81. [jetem.org]
Almost all ectopic pregnancies will require treatment. [verywell.com]
Prognosis
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 [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]
Etiology
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]
Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. [icd.codes]
Epidemiology
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]
Pathophysiology
The pathophysiological changes caused by the SCI must be kept in mind while evaluating the patient. [nature.com]
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]
[…] 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]
Pathophysiology Fertilization occurs at the usual distal third of the fallopian tube. After the union, zygote begins to divide and grow. [nurseslabs.com]
Prevention
This will prevent a possible ectopic pregnancy from advancing to the complication of tubal rupture. [tubal-reversal.net]
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]
Some are designed to prevent damage to your teeth. Others prevent the upper and lower teeth from touching to eliminate grinding. Your doctor will help find the right kind of mouth guard for you. [familydoctor.org]
Cyclizine • Dexamethasone administration also prevents POVN 39. [slideshare.net]