ectopic pregnance

7/28/2019 Ectopic Pregnance

1/22


2/22

Patient Name: Mrs. ABC Entitled in POF Hospital

GG66PP44+1+1

th

Mode of Admission: Emergency

EDD=23rd Feb 2013

= wee s


3/22

Pain lower abdomen /24hrs Vaginal spotting /24hrs


4/22

Planned pregnancy Conceived spontaneously

Confirmed on urine for pregnancy test


5/22

Four alive & healthy FTPs(Full TermPregnancy) via SVDs(SpontaneousVaginal Deliveries)

Right salpingectomy- 4yrs back


6/22

Complained of generalized, colickylower abdominal pain

NO nausea, vomiting and headache

NO a ravatin / relievin factors

Vaginal blood: small in amount & dark incolo


7/22

Vitals: B.P:100/70mmHg

Pulse: 92b m

Temperature: Afebrile

General physical examination: Unremarkable

Abdomen soft and tender

P/v(Va inal Examination) Cervical tenderness ++ on excitation

Adenexal tenderness & fullness ++

Uterus: Normal size Anteverted & Mobile

P/v bleeding +


8/22

rans- om na can Right cornual ectopic

Blood for grouping & cross match

Blood CP (Urgent) = . Hct=25 Platelets =150 X 103/mm3

2 PINT of blood arranged


9/22

Abdomen contained Blood clots Uterus Normal Size

Normal Fallopian

Right ruptured cornual ectopic Cornual resection Done

Mass Clamped & Cut

Drain Placed in POD (pouch of Douglus) Secure Hemostasis

Uterus conserved


10/22

NPO for 24hrs Vital Monitoring: input, output record

I/V antibiotics

2 pint of RCC Transfused


11/22

Orally allowed Mobilization

Drain: < 30ml


12/22

Patient Stable Uneventful recovery

Discharge


13/22

Patient Name: Mrs. XYZ Entitled in POF Hospital

GG22PP11

th

Mode of Admission: Emergency

EDD=19thJ an 2012

= wee s


14/22

Pain epigastrium: 1hr Dizziness: 1 hr


15/22

Regular booked patient Anomaly scan-shows 21week normal

viable pregnancy


16/22

Sever epigestric pain Refer to shoulder tip

2 episodes of short lived fainting attacks


17/22

a s: B.P:90/60mmHg Pulse: 102bpm weak & thready

empera ure: e r e

General physical examination: Pallor ++ Rapid & Shallow respiration

P/A Tender

FH(Fundal Height): 22weeks Gurading & rebound tenderness +

P/v(Vaginal Examination) NOT DONE


18/22

rans- om na can Abdominal cavity full of clots FCA: NEGATIVE

Investigations

Blood for grouping & cross match

Hb=5.5g/dl Hct=20 Platelets =141 X 103/mm3

4 PINT of blood Arranged


19/22

omen u res n o e oo Dead Fetus lying in abdominal cavity

Rent of 5.5cm extending to uterine funduswith

jagged margins-consent was taken

All uterine support clamped, cut and ligated

Subtotal hysterectomy was done Drain Placed in POD (pouch of Douglus)

edometrium


20/22

NPO for 24hrs Vital Monitoring: input, output record

I/V antibiotics

3 pint of RCC Transfused


21/22

Orally allowed Mobilization

Drain: < 50ml


22/22

Patient discharged with smoothRecovery

ectopic pregnance

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