Ectopic pregnancy Name School In interviewing the patient questions on her previous obstetrics history are essential to identify any increased risks for ectopic pregnancy occurring. The doctor will question the patient about any history of pelvic surgery. History of pelvic surgery increases the risk for the development of ectopic pregnancy. A history of endometriosis also and tubal surgery also may increase the risk of occurrence of the condition. Another important question to ask is n recent or past urinary tract infections in the patient. The patient's past infection by chlamydia coupled with the inconsistent condom use increases the risk of infection being will be no need for referral for the patient however a follow-up of the patient is essential to monitor her developments and recovery from the intervention. References Lee R. Dupuis C. Chen B. Smith A. & Kim Y. (2018). Diagnosing ectopic pregnancy in the emergency setting. Ultrasonography 37(1) 78-87. dx.doi.org G. & Tulandi T. (2013). A Pragmatic and Evidence-Based Management of Ectopic Pregnancy. Journal of Minimally Invasive Gynecology 20(4) 446-454. dx.doi.org F. AlShehri E. AlAjmi A. Bamanie E. Appani S. & Shams T. (2015). Failure Rate of Single Dose Methotrexate in Managment of Ectopic Pregnancy. Obstetrics And Gynecology International 2015 1-5. http://dx.doi.org/10.1155/2015/902426 [...]
Ms. Parrish is a 24-year-old woman who presents to the emergency department with a 24-hour history of acute vaginal bleeding associated with severe, crampy, constant left pelvic pain exacerbated by movement. She is sexually active, uses condoms inconsistently and uncertain of her last menstrual period. She has none of her usual perimenstrual symptoms; the amount of bleeding is similar to a heavy period. She is G0P0; history of chlamydial cervicitis 3 years ago; no prior PID or IUD use; ruptured appendix (age 16). Physical exam is significant for tachycardia, LLQ tenderness with guarding, and absence of rebound tenderness. Obstetric ultrasound showed highly probability of left fallopian tube ectopic pregnancy. • Discuss the questions that would be important to include when interviewing a patient with this issue. • Describe the clinical findings that may be present in a patient with this issue. • Are there any diagnostic studies that should be ordered on this patient? Why? • List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each. • Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.