What do you know about ectopic pregnancy and ultrasound in the ER

Pelvic ultrasound examinations have become routine for women who appear in the emergency room, the treatment of pelvic pain. These types of ultrasound examinations are fast and accurate, helps either exclude cases of ectopic pregnancy, or find them so that patients can be treated faster. This article describes general information about ectopic pregnancy and shows how ultrasound can be life-saving in time for women. 

Ectopic pregnancies occur when a fertilized egg implants outside the uterus - usually in a fallopian tube. Since the fallopian tubes can not accommodate a growing embryo, the pregnancy must be treated in order to save the fertility of the mother as well as their overall health. Most women of childbearing age are probably not aware that this type of pregnancy is the leading cause of maternal death during the first trimester. The condition is rare - it happens in 0.64% of all pregnancies in the United States, and in 0.3% of pregnancies in girls 15-19 [1] age. Unfortunately, adolescent girls are more likely to die from the condition than older women.

Some common symptoms of abnormal, ectopic pregnancy are generalized pelvic pain, stinging or stabbing pain on one side of the pelvis, vaginal bleeding, syncope (dizziness or loss of consciousness) and positive pregnancy test - (the pregnancy hormone hCG) is detected. It is difficult to know whether a woman with these symptoms actually has an ectopic pregnancy - it is not out of the state only on physical examination, medical history, or risk factors. Older women (aged 35-44), women with previous ectopic pregnancies, women, previously a tubal ligation (had their "tubal"), and women with pelvic inflammatory disease (also known as PID), an increased risk of ectopic pregnancy. Sometimes a woman will have no known risk factors and still experience the condition. 

Pelvic ultrasound are lifesaving, because they can quickly determine whether a pregnancy is developing normally in the womb. A woman with pelvic discomfort and vaginal bleeding who has a positive pregnancy test, can easily suffer from the early stages of a normal pregnancy. Pelvic ultrasound are useful for this exact reason - it can be difficult to distinguish a dangerous ectopic pregnancy from an uncomfortable, but normal. A recent analysis of data and emergency room physicians use pelvic ultrasound found that emergency physicians were able to accurately differentiate 99.3% of the time between a normal (intrauterine) and an ectopic pregnancy, when they performed a pelvic ultrasound [2]. For this reason, it is becoming more and more common (in some cases, standard) on pelvic ultrasound on all women complain of pelvic pain who present to the emergency department to carry out the treatment. At least, this test can rule out ectopic pregnancy, and if one is detected, a patient can then be treated as required for the condition. 

Women who are discovered to have an ectopic pregnancy while being treated in the emergency department in a variety of ways, depending on the exact location of the embryo and the duration of the pregnancy, when it is discovered are. If the pregnancy is not too far advanced, a drug called methotrexate can be administered. As a result, in order to absorb the woman's body, the tissue from the embryo, and can potentially save the tubes from being destroyed. If the hose is cracked or broken due to pregnancy, then doctors have to surgically repair or remove the hose. It is also very important to have a hemorrhage, the stop occurred around the pipe or as a result of the fracture. 

Women should feel very lucky that pelvic ultrasound is available and is used today. Even in the 1990s, more than 40% of ectopic pregnancies in women who presented to the emergency department were missed [3]. As described in this article, this is no longer the case. Nevertheless, it is important for every sexually active woman, know the signs and symptoms of a possible ectopic pregnancy and seek medical advice immediately if you suspect .......

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