RT Book, Section
A1 Dooley-Hash, Suzanne
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041703
T1 Ectopic Pregnancy
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041703
RD 2024/04/25
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.