Case patient xxx, female, 35 years old Symptom: amenorrhea for 47 days i spot vaginal bleeding for 3 days; sudden abdominal pain for 2 hours Signs: Bp 12/ 8Kpa, P 120 times/min, abdominal tenderness and rebound tenderness(+); sharp pain on motion of the cervix sonography: a 4X5 cm irregular mass, 3 cm-depth fluid in cul-de-sac culdocentesis: 2 ml bloody fluid did not clot) urine HCG(+
Case patient xxx, female, 35 years old Symptom: amenorrhea for 47 days ; spot vaginal bleeding for 3 days; sudden abdominal pain for 2 hours. Signs: Bp 12/8Kpa, P 120 times/min, abdominal tenderness and rebound tenderness (+); sharp pain on motion of the cervix. sonography: a 4X5 cm irregular mass, 3 cm-depth fluid in cul-de- sac culdocentesis: 2 ml bloody fluid (did not clot) urine HCG (+)
If you were the doctor 1. What diagnosis would you thin水 of first? 2. How would you treat the patient
If you were the doctor, 1. what diagnosis would you think of first ? 2. How would you treat the patient ? ?
Ectopic pregnancy 异位妊娠
异位妊娠 ! Ectopic pregnancy
New words Ectopic pregnancy异位妊娠 fallopian tube 输卵管 a blastocyst 囊胚 ■cer|X 宫颈 a amenorrhea 停经 ■ culdocentesis 后穹隆穿刺
New words ◼ Ectopic pregnancy 异位妊娠 ◼ fallopian tube 输卵管 ◼ blastocyst 囊胚 ◼ cervix 宫颈 ◼ amenorrhea 停经 ◼ culdocentesis 后穹隆穿刺
I. Definition The blastcyst normally implants in the endometrial lining of the uterine cavity Implantation anywhere else is an ectopic pregnancy t is one in which the fertilized ovum is implanted and developed outside of the uterine cavity
Ⅰ.Definition ◼ The blastcyst normally implants in the endometrial lining of the uterine cavity. Implantation anywhere else is an ectopic pregnancy. ◼ It is one in which the fertilized ovum is implanted and developed outside of the uterine cavity