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Ectopic pregnancy (Risk factors (Endometriosis, Previous ectopic, Pelvic…
Ectopic pregnancy
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Clinical
presentation
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Pain
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Timing
Continuous, progressive
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Pathophysiology
Embryo implantation in fallopian tube,
intra-abdominally etc.
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Trophoblast invades wall, weakening it, causing
haemorrhage and dislodging the embryo
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Diagnosis
Examination
General - hypovol shock
Abdo - may be tender/peritonitic
Bimanual - tender adnexa, mass
Speculum - blood in vagina
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History
Gynae - LMP, contraception, periods,
preceeding amenorrhoea, breast tender
Risk factors
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