Page 279 - 2021 IDMT Digital

ECTOPIC PREGNANCY
Introduction:
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• )HUWLOL]HG RYXP LV SUHYHQWHG IURP UHDFKLQJ WKH XWHUXV DQG LPSODQWV RI WKH WLPH LQ
WKH RYDULDQ WXEH
• ,Q WKH 86 XQGLDJQRVHG RU XQGHWHFWHG HFWRSLF SUHJQDQF\ LV RQH RI WKH PRVW FRPPRQ
FDXVHV RI PDWHUQDO GHDWK GXULQJ WKH ILUVW WULPHVWHU
Subjective:
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o 6HYHUH ORZHU TXDGUDQW SDLQ
ƒ 6XGGHQ VWDEELQJ LQWHUPLWWHQW QR UDGLDWLRQ
ƒ 6KRFN RFFXUV LQ RIWHQ DIWHU SHOYLF H[DP
• )RFXVHG +LVWRU\
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Objective:
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o $EGRPLQDO GLVWHQWLRQ DQG PLOG SDUDO\WLF LOHXV SUHVHQW
• 7RROV
o 3UHJQDQF\ WHVW
Assessment:
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o $SSHQGLFLWLV QHJDWLYH SHOYLF H[DP PRUH IRFDO 5/4 SDLQ
o 2YDULDQ F\VW QR FHUYLFDO GLVFKDUJH
o 8ULQDU\ FDOFXOL IODQN SDLQ PRUH OLNHO\
o 3,' PRUH OLNHO\ ZLWK UHFHQW VH[XDO FRQWDFW RQVHW RI PHQVHV KLVWRU\ RI 3,'
UHFHQW LQVHUWLRQ RI ,8'
Plan:
• (YDFXDWH SDWLHQWV ZLWK VXVSHFWHG HFWRSLF SUHJQDQF\
o 6XUJLFDO WUHDWPHQW LV GHILQLWLYH
o 3UH KRVSLWDO UXSWXUH FDQ FDXVH KHPRUUKDJH
Patient Education:
• 5HSHDW WXEDO SUHJQDQF\ RFFXUV LQ DERXW RI FDVHV
• )ROORZ XS $FWLRQV
o (PHUJHQWO\ HYDFXDWH SDWLHQWV ZLWK VXVSHFWHG HFWRSLF SUHJQDQF\
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP

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