Ectopic Pregnancy Medical Presentation

Ectopic Pregnancy PowerPoint Presentation

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Published on : Sep 26, 2019 | Views : 4779 | Downloads : 22

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Objectives To present history and clinical manifestations of an tubal pregnancy To tackle the diagnosis of ectopic pregnancy To discuss normal histology of fallopian tube To discuss the pathology of tubal pregnancy
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I.D. Female 29 yo Single Filipino Roman Catholic Store cashier at UAE Bacarra, Ilocos Norte Admitted:
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Chief Complaint Vaginal Bleeding
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Hx of Present Illness
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Past Medical Hx Unremarkable
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Personal and Social Hx Unremarkable
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Menstrual Hx Menarch – 13 yo Interval – Monthly (Regular) Duration – 5 days Amount – 3 pads/days Assoc. Symptoms – None LMP – July 14, 2019
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Obstetrical Hx G1P0 (Current pregnancy) AOG – 8 weeks 5/7 days PNCU – 1x at UAE
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Physical Examination Awake, alert, coherent, not in CPD BP – 100/70; CR – 91; RR – 22; Temp – 36.0 C HEENT – AS, PPC, (-) TPC, (-)CLAD, PERRLA Chest/Lungs/Heart – SCE, (-)Ret, CBS, AP, NRR, (-)Murmur Abdomen – Flabby, (+) Hypogastric tenderness Uterus – slightly enlarged Cervix – closed, moderate bleeding
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Diagnostics Ultrasound Impression: Normal sized anterverted uterus; Thin and intact endometrium; Normal ovaries with corpus luteum, left Cul de sac mass, left Β - HCG Test: 3437.545 mIU/mL
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Differential Diagnosis
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Working Diagnosis G1P0 Ectopic pregnancy probably ruptured
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Course in the Ward Left uterine tube pregnancy, ruptured
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Fallopian Tube Aka oviducts Length: 10 – 12 cm 4 parts Infundibulum Ampulla Isthmus Intramural
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Fallopian Tube
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Histopathology