What are the clinical manifestations of ectopic pregnancy?

Ectopic Pregnancy Signs and Symptoms

• Light vaginal bleeding and pelvic pain.
• Upset stomach and vomiting.
• Sharp abdominal cramps.
• Pain on one side of your body.
• Dizziness or weakness.
• Pain in your shoulder, neck, or rectum.

What are the differential diagnosis of ectopic pregnancy?

DIFFERENTIAL DIAGNOSIS The classic findings of ectopic pregnancy are vaginal bleeding and/or abdominal pain in the setting of a positive pregnancy test. Even if a cervical or vaginal source of bleeding is identified, all patients with first-trimester bleeding should be evaluated by transvaginal ultrasound.

Which choice accurately lists the classic triad of symptoms of ectopic pregnancy?

The classic clinical triad of ectopic pregnancy is as follows: Abdominal pain. Amenorrhea. Vaginal bleeding.

What are four 4 expected findings of an ectopic pregnancy?

sharp waves of pain in the abdomen, pelvis, shoulder, or neck. severe pain that occurs on one side of the abdomen. light to heavy vaginal spotting or bleeding. dizziness or fainting.

What is the highest hCG level in ectopic pregnancy?

An ectopic pregnancy can be suspected if the transvaginal ultrasound examination does not detect an intrauterine gestational sac when the β-hCG level is higher than 1,500 mIU per mL.

Can hCG detect ectopic pregnancy?

Can you see an ectopic pregnancy at 4 weeks?

Not all experience symptoms. The diagnosis of ectopic pregnancy may sometimes be difficult, and symptoms may occur from as early as 4 weeks pregnant and up to 12 weeks or even later.

What are the odds of pain with ectopic pregnancy?

In first-trimester symptomatic patients, pain as the presenting symptom is associated with an odds ratio of 1.42, and moderate to severe vaginal bleeding at presentation is associated with an odds ratio of 1.42 for ectopic pregnancy. [ 50] In one study, 9% of patients with ectopic pregnancy presented with painless vaginal bleeding. [ 51]

Which is the best explanation for ectopic pregnancy?

Gynecology: Essentials of clinical practice. Progestin-only contraceptives, delayed ovulation, transmigration of the ovum to the opposite tube, prenatal exposure to diethylstilbestrol, and “spastic tubes” are among other proposed explanations for the occurrence of ectopic pregnancy.

Can a ruptured ectopic pregnancy cause tachycardic shock?

Patients in hemorrhagic shock from ruptured ectopic may not be tachycardic. Some physical findings that have been found to be predictive (although not diagnostic) for ectopic pregnancy include the following: Presence of peritoneal signs. Cervical motion tenderness.

When to use equivocal ultrasound for ectopic pregnancy?

Equivocal ultrasound results should be combined with quantitative beta subunit of human chorionic gonadotropin levels. If a patient has a beta subunit of human chorionic gonadotropin level of 1,500 mIU per mL or greater, but the transvaginal ultrasonography does not show an intrauterine gestational sac, ectopic pregnancy should be suspected.