Ectopic Pregnancy

Extrauterine Pregnancy: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate extrauterine pregnancy: Lower abdominal pain, colicky, side-dependent (may be very mild initially!). Shoulder pain, due to irritation of the phrenic nerve (phrenic nerve). Nausea, especially in the morning Secondary amenorrhea – absence of menstruation. Mild vaginal spotting Collapse/shock in the context of an acute abdomen (e.g., tubal rupture/bursting … Extrauterine Pregnancy: Symptoms, Complaints, Signs

Extrauterine Pregnancy: Causes

Pathogenesis (development of disease) Extrauterine pregnancy (EUG) refers to a gravidity (pregnancy) in which nidation (implantation) of the blastocyst (fertilized egg; stage of embryogenesis characterized by the formation of a blastocoel (fluid-filled cavity); it emerges from the morula, a developmental stage of early embryogenesis, on approximately day 4 after fertilization) occurs outside the uterus (womb). … Extrauterine Pregnancy: Causes

Extrauterine Pregnancy: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Human chorionic gonadotropin (ß-HCG)1,2 specific for the detection of trophoblastic tissue (cell layer that forms the outer boundary of the blastocyst (embryo in the early stages of development) of an intrauterine (“located in the uterus“) or an extrauterine (“located outside the uterus”) pregnancy (EUG); normally, a continuous … Extrauterine Pregnancy: Test and Diagnosis

Extrauterine Pregnancy: Drug Therapy

Therapeutic target Termination of extrauterine pregnancy. Therapy recommendations The form of therapy remains a case-by-case decision and depends on the clinical situation: Wait-and-see – hoping for resorption (“self-digestion”), Drug (systemic: methotrexate or local: methotrexate, prostaglandin prostaglandin E2, F2a, glucose 50%, potassium chloride 20%), or Operative (pelviscopic/abdominal scavenging, by laparotomy/abdominal incision, or in the case of … Extrauterine Pregnancy: Drug Therapy

Extrauterine Pregnancy: Diagnostic Tests

Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) [detection of: Amniotic cavity with embryo and cardiac actions outside the cavum uteri* /uterine cavity. Ring structure adjacent to ovary/ovary, DD: corpus luteum cyst/luteal cyst. Solid or hypoechogenic structure that can be demarcated from the ovary. Pseudogestation sac (echolear … Extrauterine Pregnancy: Diagnostic Tests

Extrauterine Pregnancy: Surgical Therapy

The form of therapy, wait-and-see – hoping for resorption (“imbibition”) -, drug (systemic or local), or surgical (pelviscopic/abdominal endoscopy, by laparotomy/abdominal incision, or in the case of cervical gravidity/pregnancy by cervical curettage) remains a case-by-case decision and depends on the clinical situation. The exception at present seems to be cervical gravidity. Recent studies suggest that, … Extrauterine Pregnancy: Surgical Therapy

Extrauterine Pregnancy: Prevention

To prevent extrauterine pregnancy, attention must be paid to reducing individual risk factors. Behavioral risk factors Early sexual intercourse Multiple sexual partners Consumption of stimulants Tobacco (smoking) Vaginal douches Other risk factors Intrauterine device (IUD)

Extrauterine Pregnancy: Or something else? Differential Diagnosis

Respiratory System (J00-J99) Mediastinitis – inflammation of the portion of the chest located between the two lungs. Pleurisy (inflammation of the pleura). Pneumonia (pneumonia) Pneumothorax (collapsed lung) Blood, blood-forming organs – immune system (D50-D90). Hemolytic crisis – acute hemoptysis in the context of anemia (anemia). Hemophilia (hemophilia). Endocrine, nutritional and metabolic diseases (E00-E90). Addisonian crisis … Extrauterine Pregnancy: Or something else? Differential Diagnosis

Extrauterine Pregnancy: Complications

The following are the most important diseases or complications that may be contributed to by extrauterine pregnancy: Psyche – Nervous System (F00-F99; G00-G99). Anxiety/anxiety disorder Depressiveness/Depression Post-traumatic stress disorder (PTSD) Pregnancy, childbirth and puerperium (O00-O99). Repeated extrauterine pregnancy Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99) Acute abdomen

Extrauterine Pregnancy: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix), or portio (cervix; transition … Extrauterine Pregnancy: Examination