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เปรียบเทียบพยาธิสภาพกับกรณีศึกษา - Coggle Diagram
เปรียบเทียบพยาธิสภาพกับกรณีศึกษา
Etiology
In book
• Salpingitis and PID
• Contraception failure such as
IUD, Sterilization operation, use of Progestin only pill etc.
• Tubal surgery
• Intrapelvic adhesion following pelvic surgery
• ART such as IVF
Previous ectopic pregnancy
Developmental defect
In Patients
Idiopathic (causes are not known)
Sign and symptoms
Acute
Persistent unilateral uneasiness
Absent
Abdominal Pain
Present
Appearance of vaginal bleeding
Present
Vomiting and fainting attack
Absent
Pallor skin and becomes cold
Absent
Lower abdomen becomes tense and tender, no mass is felt
Absent
Extreme tenderness on fornix
Absent
Unruptured
Continuous uneasiness on one side of the flank/ colicky pain
Present
Presence of delayed period
Present
Sub-Acute
Amenorrhea
Present
Lower abdominal pain
Present
Vaginal bleeding is more dark
Bleeding is redness
Diagnosis
Blood examination such as Hb, Grouping & Rh typing, Total WBC count, Differential count.
Done
Culdocentesis
Not done
Urinary hCG test
Done
USG
Done
Laparoscopy
Not done
Complications
Rupture
Absent
Internal bleeding
Absent
Maternal death
Absent
Management
In Acute Cases
Hospitalization
Done
Ringer's solution is started
5% DN/2 1000 ml IV 80 cc/hr
Blood transfusion
Absent
Laparotomy with Salpingectomy, Oophrectomy, sub-total hysterectomy
Absent
In ruptured cases
Drugs such as Methotrexate, Prostaglandin are given for salpingocentesis
Use Methotrexate
Linear salpingectomy
Absent