Ectopic Pregnancy Symptoms | Ectopic Pregnancy Diagnosis

Various clinical features of ectopic pregnancy have mentioned in the following:

1. Per abdominal examination:
It includes-

• Abdomen intense and tender and tenderness more in the lower abdomen,
• Shifting dullness may be elicited,
• The gut may be distended.

2. Per vaginal examination:
It includes-

• Usually not done due to fear of precipitating more bleeding and extreme tenderness,
• Vaginal mucosa blanched white,
• No mass usually felt through the cervix,
• Extreme tenderness on palpation of the fornix or movement of the cervix.

3. A short period of amenorrhea,

4. Severe lancinating pain in one iliac fossa or the hypogastrium immediately followed by profound collapse,

5. Slight, sanguineous, or dark-colored vaginal bleeding,

6. Feeling of nausea, vomiting, and dyspnea,

7. There may be anemia, fever (2% of cases), and signs of shock.

All the diagnosis ways of acute ruptured ectopic pregnancy have pointed out below:

It includes-

1. Exhibits abdominal or pelvic tenderness during palpation,
2. Tenderness in patients with EP may be generalized (45%), located bilaterally in the lower quadrants (25%), or located unilaterally in a lower quadrant (30%),
3. Rebound tenderness may or may not be present,
4. A palpable adnexal mass or mass in the cul-de-sac is reported in approximately 40% of cases; absence of a palpable mass does not rule out EP,
5. Additional signs include shoulder pain (15%) and low-grade fever (Less than 10%).

2. P/V Examination:
It should not be done due to tenderness.

3. Lab Investigation:

Blood:
It includes-

• TC, DC (Neutrophilic leukocytosis),
• Hb% below normal,
• ESR raised,
• Blood grouping and Rh typing- should be done for management beta-HCG.

Urine Specific Gravity (USG):
It includes-

• TVS (Transvaginal sonography is the choice)- can detect an EP greater than 2cm,
• USG can show,
• Empty uterus,
• Cystic or sold adnexal masses,
• Dilated and thick-walled fallopian tubes,
• Free echogenic fluid in the pelvis; hematosalpinx,
• The extrauterine gestational sac contains a yolk sac, with or without an embryo.

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