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ECTOPIC PREGNANCY

ECTOPIC PREGNANCY. Dr. Madhavi Karki. Definition. Sites of Implantation:. Fig: Implantation Sites in Ectopic Pregnancy. ETIOLOGY. History – Taking . Clinical Features of Ectopic Pregnancy. Investigations : . Differential Diagnosis. Management of ectopic pregnancy : . ACUTE :

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ECTOPIC PREGNANCY

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  1. ECTOPIC PREGNANCY Dr. Madhavi Karki

  2. Definition

  3. Sites of Implantation:

  4. Fig: Implantation Sites in Ectopic Pregnancy

  5. ETIOLOGY

  6. History – Taking

  7. Clinical Features of Ectopic Pregnancy

  8. Investigations :

  9. Differential Diagnosis

  10. Management of ectopic pregnancy : • ACUTE : PRINCIPLE : RESUSITATION AND LAPAROTOMY • PATIENT SHOULD LIE IN BED • Morphine IM 15mg • 5% dextrose drip • Arrangement for blood • Laparotomy • Chronic : - Laparotomy

  11. Unruptured Tubal Pregnancy : • Medical management : Drugs: methotrexate • Conservative surgery : salpingostomy salpingectomy Rh – negative woman : Anti-D gamma globulin – 50 microgram IM should be given following operation to prevent isoimmunization

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