What is the differential diagnosis of ectopic pregnancy?
DIFFERENTIAL DIAGNOSIS The classic findings of ectopic pregnancy are vaginal bleeding and/or abdominal pain in the setting of a positive pregnancy test. Even if a cervical or vaginal source of bleeding is identified, all patients with first-trimester bleeding should be evaluated by transvaginal ultrasound.
What are some differential diagnosis for pregnancy?
- Abortion Complications.
- Appendicitis.
- Cervical Cancer.
- Dysmenorrhea.
- Early Pregnancy Loss.
- Hemorrhagic Shock.
- Hypovolemic Shock.
- Placenta Previa.
What are four 4 expected findings of an ectopic pregnancy?
sharp waves of pain in the abdomen, pelvis, shoulder, or neck. severe pain that occurs on one side of the abdomen. light to heavy vaginal spotting or bleeding. dizziness or fainting.
What can mimic an ectopic pregnancy?
Ovarian neoplasms, although less common than paraovarian cysts or dermoid cysts, can also mimic ectopic pregnancy. If there is concern for an ovarian neoplasm based on a patient’s clinical presentation and ultrasound findings, magnetic resonance imaging can be obtained for further evaluation of the mass.
What are the clinical manifestations of ectopic pregnancy?
Often, the first warning signs of an ectopic pregnancy are light vaginal bleeding and pelvic pain. If blood leaks from the fallopian tube, you may feel shoulder pain or an urge to have a bowel movement. Your specific symptoms depend on where the blood collects and which nerves are irritated.
How do doctors detect ectopic pregnancy?
- A pelvic exam to check the size of your uterus and feel for growths or tenderness in your belly.
- A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days later. …
- An ultrasound. This test can show pictures of what is inside your belly.
What is meant by differential diagnosis?
A differential diagnosis looks at the possible disorders that could be causing your symptoms. It often involves several tests. These tests can rule out conditions and/or determine if you need more testing.
What are the benefits of considering a differential diagnosis?
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The goals of differential diagnosis are to:
- narrow down the working diagnosis.
- guide medical evaluation and treatment.
- rule out life threatening or time critical conditions.
- enable the doctor to make the correct diagnosis.
What is the confirmatory test for pregnancy?
Doctors use two types of blood tests to check for pregnancy: Quantitative blood test (or the beta hCG test) measures the exact amount of hCG in your blood. So it can find even tiny amounts of hCG. This makes it very accurate.
When is ectopic pregnancy detected?
A pregnancy that’s ectopic is usually diagnosed at about four to six weeks into pregnancy. Ectopic pregnancy tests and diagnosis often include: A pelvic exam.
When are most ectopic pregnancies detected?
Ectopic pregnancy is typically discovered very early in pregnancy. Most cases are found within the first trimester (the first three months). It usually is discovered by the eighth week of pregnancy.
How soon can ultrasound detect ectopic?
Levels of this hormone increase during pregnancy. This blood test may be repeated every few days until ultrasound testing can confirm or rule out an ectopic pregnancy — usually about five to six weeks after conception.
What is the confirmatory diagnosis for ectopic pregnancy?
An ectopic pregnancy is usually diagnosed by carrying out a transvaginal ultrasound scan. This involves inserting a small probe into your vagina. The probe is so small that it’s easy to insert and you won’t need a local anaesthetic.
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Can an ectopic pregnancy be misdiagnosed?
Misdiagnosis is one of the primary causes of ectopic pregnancy negligence. Medical professionals must recognise the symptoms, ask relevant questions of their patients and perform any necessary tests to determine the true cause of the patient’s symptoms.
What hCG level shows ectopic pregnancy?
Absence of an intrauterine gestational sac on abdominal ultrasound in conjunction with a β-hCG level of greater than 6,500 mIU per mL suggests the presence of an ectopic pregnancy.