Journals on Internal Medicine - BJSTR Journal

Abstract

Early diagnosis of an ectopic #pregnancy remains challenging in a medical emergency. Despite advances in diagnostic methods and management, ruptured ectopic pregnancy continues to cause 6% pregnancy related deaths, often because of failure to recognize the early signs and symptoms. The common teaching is that pregnancy should always remain in the list of clinical possibilities for abdominal pain in a woman of reproductive age. Moreover, acute abdomen in #hemodynamically unstable young women with a history of one or two missed menstrual periods suggests a ruptured ectopic #pregnancy. There is no substitute for a high index of clinical suspicion. #Emergency physician should maintain a low threshold for diagnosing the condition, given its fatal outcomes.Abdominal pain accounts for 5-10% of emergency department admissions and has the broad differential diagnosis [1]. A detailed history, physical examination, and diagnostic abdominal imaging facilitate a correct and efficient diagnosis. Recognition of the conditions like #mesenteric ischemia, acute intermittent #porphyria, ruptured abdominal aortic aneurysm, and ruptured ectopic pregnancy are frequently problematic and elusive in the emergency room. In unstable patients, bedside ultrasound and upright plain radiograph have promised to provide a time-critical diagnosis [1,2].

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 Ruptured Ectopic Pregnancy: An Emergency Physician Perspective by Pannu AK in BJSTR