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DEFINITION
Risk factors
SYMPTOMS SIGNS
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1. Abdominal or pelvic pain 1. Pelvic tenderness
2. Amenorrhea or missed period 2. Adnexal tenderness
3. Vaginal bleeding with or 3. Abdominal tenderness
without clots 4. Other:
4. Other: - Cervical motion tenderness
- Breast tenderness - Rebound tenderness
- Gastrointestinal symptoms - Pallor
- Dizziness, fainting or syncope - Abdominal distension
- Shoulder tip pain - Enlarged uterus
- Urinary symptoms - Tachycardia
- Passage of tissue - Shock or collapse
- Rectal pressure or pain on - Orthostatic hypotension
defaecation
Surgical Management
Medical Management
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1. Early diagnosis of ectopic pregnancy allows for medical management
in appropriate candidates
2. MTX can considered in
- Confirmed or presumed ectopic pregnancy
- Hemodynamically stable
- Unruptured mass with an adnexal mass smaller than 35mm
with no visible heartbeat
3. Success with MTX is >90% when initial hCG level is <5000mIU/ml
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