TY - CHAP M1 - Book, Section TI - Ectopic Pregnancy A1 - Dooley-Hash, Suzanne A1 - Knoop, Kevin J. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason Y1 - 2021 N1 - T2 - The Atlas of Emergency Medicine, 5e AB - Ectopic pregnancy is one that occurs outside of the uterus and is the leading cause of first-trimester maternal obstetric morbidity. It can be asymptomatic or present with symptoms ranging from mild vaginal bleeding and lower abdominal pain to shock secondary to massive hemorrhage. Menstrual history may reveal a missed or recent abnormal menses. Pelvic examination may be normal or may include vaginal bleeding, cervical motion tenderness, or adnexal tenderness. An abnormally low or slowly rising hCG may be seen. Risk factors include use of an IUD, prior ectopic pregnancy, and a history of pelvic inflammatory disease, tubal ligation, and other abdominal or pelvic surgeries. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/18 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041703 ER -