PA Boards 23: Ectopic Pregnancy
Medgeeks with Andrew Reid
Medgeeks
4.8 • 996 Ratings
🗓️ 6 March 2014
⏱️ 20 minutes
🧾️ Download transcript
Summary
Ectopic pregnancy. Most will occur in fallopian tube. Risk factors include prior ectopic pregnancy, tubal ligation, and infection. Triad of amenorrhea, vaginal bleeding, abdominal pain. Diagnosed with HCG and ultrasound. Treatment includes observation, methotrexate, and surgery. Let's go over all these details to help you prepare for you physician assistant exam!
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Transcript
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| 0:00.0 | Hello hello and welcome to episode 23 of the physician assistant boards.com |
| 0:05.1 | podcast and today we're going to be talking about a topic pregnancy and the reason |
| 0:11.0 | I chose to talk about this topic was because I had a patient that I've been seeing for the past week and that I had a follow-up with yesterday as well who was diagnosed with an ectopic pregnancy. |
| 0:23.0 | And I was using Twitter to kind of ask questions to you guys. |
| 0:27.0 | And some of you responded, we had a little chat and we, you know, kind of figured this out together. |
| 0:33.0 | So I thought this would be a good time to just do a podcast |
| 0:36.0 | to kind of highlight all of the important points |
| 0:38.0 | that you need to know for a topic pregnancy. |
| 0:40.0 | And if you haven't already, please follow me on Twitter. You could find me over at PA |
| 0:45.5 | underscore boards. All right guys, so let's get started with a topic pregnancy. And we'll go a little bit |
| 0:51.4 | more into detail about the patient that I had yesterday |
| 0:53.8 | a little bit farther along in the podcast but let's just get started so now an ectopic |
| 0:58.8 | pregnancy by definition is when the ovum implants outside of the uterine cavity and this can be |
| 1:04.4 | in multiple spots but really the most common side of implantation is going to be the fallopian tube. |
| 1:09.8 | 98% of these ectopic pregnancies are going to be found in the fallopian tube. |
| 1:15.4 | And 70% of these fallopian tube ectopics are going to be in the anvilary portion. |
| 1:21.2 | About 1% of ectopics are going to be found in the ovary and this is becoming more and more common as well |
| 1:26.7 | and I've actually had a patient that had an ovarian ectopic and it was very interesting actually I'm actually following her now for her current pregnancy |
| 1:36.6 | but her last pregnancy she actually had two things going on she had a spontaneous abortion and in that same pregnancy |
| 1:45.8 | had an ectopic. So she was initially managed by me and then we had transferred her over to UCI. |
| 1:55.0 | UC I stands for UC Irvine here in Southern California and what ended up happening was she had |
| 2:02.4 | vaginal bleeding she had pelvic pain and she was |
... |
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