ECTOPIC PREGNANCY

  • The commonest complication of pregnancy after complete treatment of genital tuberculosis is Ectopic pregnancy
  • Ectopic pregnancy is a reported complication of calendar method
  • IUCD with highest incidence of ectopic pregnancy is Progestasert
  • Condoms has the least risk of ectopic pregnancy
  • In comparing laparoscopic salpingostomy vs. laparotomy with salpingectomy for the treatment of ectopic pregnancy, laparoscopic therapy results in Decreased hospital stays Most sensitive diagnosis test for ectopic pregnancy Transvaginal USG
  • The cause of fetal death in ectopic pregnancy is postulated as Vascular accident
  • Hormone responsible for decidual reaction and Arias stella reaction in ectopic pregnancy is Progesterone
  • Medical treatment of ectopic pregnancy should be offered to those patients whose hCG level is less than 10,000 I Ll and the size of the mass is less than 4 cms
  • 6 weeks of amenorrhoea presents with pain in abdomen; USG shows fluid In pouch of douglas. Aspiration yields dark color blood that fails to clot. Most probable diagnosis is Ruptured ectopic pregnancy
  • Acute abdominal pain , prolong amenorrhoea with collection of fluid in the pouch of douglas and empty gestational sac are suggestive of ectopic pregnancy
  • Ectopic pregnancy is most commonly sociated with Tubal inflammatory diseases
  • Most common manifestation of ectopic pregnancy is Pain abdomen
  • In Interstitum part of fallopian tube ectopic pregnancy will have longest survival 
  • Ectopic pregnancy Associated with decidual reaction
  • In ectopic interstitial ring sign is seen
  • Potassium Chloride, Methotrexate & Actinomycin D are used in medič‹žal management of ectopic pregnancy
  • In Presence of fetal heart activity the medical treatment of Ectopic pregnancy is contraindicated
  • Salpingo-oophorectomy is not done in ectopic pregnancy 
  • In a nulliparous woman, the treatment of choice in ruptured ectopic pregnancy is Linear salpingostomy
  • Ectopic pregnancy differs from threatened abortion by that it Manifests at an early age
  • Commonest cause of ectopic pregnancy is Previous salpingitis
  • Causes of ectopic pregnancy includes IUCD, & Tubal ciliary damage
  • Commonest site of ectopic pregnancy is tube
  • Commonest type of ectopic pregnancy with rupture is Isthmic
  • In a young patient with abdominal pain and fea負ure most suggestive of ectopic pregnancy is Increase beta HCG in urine
  • The most consistent sign in disturbed ectopic pregnancy is Vaginal bleeding
  • The expelled products in ectopic pregnancy originate from Decidua vera
  • Pathognomonic of ectopic pregnancy is Decidual casts
  • Best endometrial reaction In ectopic pregnancy is Decidual reaction without chorionic villi
  • Medical treatment of ectopic pregnancy is methotrexate
  • Absolute contraindication to intra-uterine device is History of ectopic pregnancy A female patient is found to have an ectopic pregnancy. In order to gain access to the peritoneal cavity endoscopically to remove the embryo, the instrument can be passed into the vagina and through the Posterior fornix
  • Ectopic pregnancy is commonest in ampulla of fallopian tube
  • Ectopic pregnancy can be ruled out on ultrasound by Finding foetus in uterus
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