By Togas Tulandi
Comprised solely of medical circumstances protecting ectopic being pregnant, this concise, functional casebook will supply clinicians in reproductive drugs and obstetrics/gynecology with the easiest real-world recommendations to correctly diagnose and deal with many of the different types of the they might stumble upon. each one bankruptcy is a case that opens with a distinct scientific presentation, by way of an outline of the prognosis, evaluate and administration concepts used to regard it, in addition to the case end result and scientific pearls and pitfalls. instances incorporated illustrate varied administration ideas – from therapy with methotrexate to surgical interventions – in addition to different types of ectopic being pregnant, equivalent to ovarian, interstitial, heterotopic and belly types, between others. Pragmatic and reader-friendly, Ectopic being pregnant: A medical Casebook should be an exceptional source for reproductive drugs experts, obstetricians and gynecologists, and family members and emergency medication physicians alike.
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Additional resources for Ectopic Pregnancy: A Clinical Casebook
2002;100:505–10. 15. Shalev E, Peleg D, Tsabari A, Romano S, Bustan M. Spontaneous resolution of ectopic tubal pregnancy: natural history. Fertil Steril. 1995;63:15–9. Chapter 3 Pregnancy of Unknown Location Shabnam Bobdiwala and Tom Bourne Case Study A 28-year-old woman was referred to the emergency department by her family practitioner after presenting with a 4-day history of left iliac fossa discomfort. The urinary pregnancy test was positive. She stated that her last menstrual period (LMP) was 6 weeks ago.
The patient’s infertility doctor was notified of the abnormal pregnancy and a decision was made to proceed with laparoscopic removal of the tubal pregnancy. My Management A. Agree with performing laparoscopy B. Perform ultrasound-guided local injection C. Expectant management with hCG and TVUS in 2–3 days Diagnosis and Assessment Our patient has multiple factors which increase the risk of ectopic pregnancy, including history of infertility, tubal surgery, and advancing age. In one study, the authors reported that the risk of ectopic pregnancy among infertile women was double than that in fertile women .
A pragmatic and evidence based management of ectopic pregnancy. J Minim Invasive Gynecol. 2013;20:446–54. 2. Barnhart KT, Gosman G, Ashby R, Sammel M. The medical management of ectopic pregnancy: a meta-analysis comparing “single dose” and “multidose” regimens. Obstet Gynecol. 2003;101:778. 3. Farquhar CM. Ectopic pregnancy. Lancet. 2005;366:583. 4. Morlock RJ, Lafata JE, Eisenstein D. Cost-effectiveness of single-dose methotrexate compared with laparoscopic treatment of ectopic pregnancy. Obstet Gynecol.
Ectopic Pregnancy: A Clinical Casebook by Togas Tulandi