
University of Michigan Medical Center Methotrexate Treatment of Ectopic Pregnancy Patient Instructions 2012-2025 free printable template
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This is a brief video on ectopic pregnancy or pregnancy occurring outside the uterus were going to be given a brief overview of ectopic pregnancy talking about how it presents in the clinic talking about some causes or risk factors of ectopic pregnancy talking about how to diagnose ectopic pregnancies and one diagnostic algorithm as well as talking about how to manage ectopic pregnancy once it's been diagnosed before we begin this is an image of a well-preserved specimen from an ectopic pregnancy that is about seven weeks in gestation the specimen was preserved in a fallopian tube, and you can see the fallopian tube surrounding what looks like a well-preserved human embryo that is about seven weeks old so let's begin with an overview of ectopic pregnancy topic pregnancy is by definition when the embryo attaches outside the uterus embryo can attach in several locations it most commonly occurs in the ampulla of the fallopian tube as shown right there were my pointer is pointing it can also occur in other parts of the tube closer to the fibrin it can occur in the ovary if Nikki in the cervix I can occur in the myometrium and interstitial ectopic pregnancy or even outside the tubes in the abdomen and intra-abdominal pregnancy so can occur in various locations most commonly in the ampulla of the fallopian tube ectopic embryos can grow and create pressure invade surrounding structures so if an ectopic pregnancy grows inside the uterus air inside the tube it can block the tube and create pressure on either side it can affect surrounding organs and structures and cause pain pressure or bleeding that way as well how does it present in the clinic usually have symptoms the classic symptoms are abdominal or pelvic pain and vaginal bleeding the pain can be described as sharp dull ardor cramps so not super descriptive, but it often mimics appendicitis especially when it's on the lower right side when it's on that right adnexa that right fallopian tube the bleeding usually occurs six weeks after the last menstrual period, so it's usually a first trimester finding and then patient might have bleeding because of an ectopic pregnancy others sometimes include a tender cervix and adnexal mass that's found on physical exam or adnexal tenderness you might also see some symptoms of pregnancy because this is a pregnancy it's just in the wrong location and those include nausea vomiting urination fatigue and breast tenderness and those are usually the result of high HCG in the body another sign is a destruction or rupture of the fallopian tube and if there's a rupture of the fallopian tube you might get peritonitis you might get abdominal distension generalized tenderness peritonitis and if there really is a lot of blood loss into the peritoneum or outside the body through the vagina you might also get hypokalemic shock and the symptoms associated with that which include low blood pressure high heart rate and a cold feeling hypokalemic shock now the causes and risk...
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