Ectopic pregnancy
From دكاترة نسا · 34:15
Show by [email protected]
Description: Ectopic pregnancy is still the leading cause of maternal death in the first trimester, and it can look like almost anything. In this episode we walk through what every medical student, junior doctor, nurse and midwife needs to know, from definitions to emergency management. We start with a 2 a.m. emergency department case and work through: What an ectopic pregnancy is, plus pregnancy of unknown location (PUL), heterotopic and persistent ectopic pregnancy Common sites (ampulla, isthmus, fimbrial) and rarer, more dangerous ones: interstitial, cervical, caesarean scar, ovarian and abdominal Risk factors, and why half of patients have none How likely it is to happen again after one or two ectopics How patients present, from the classic triad to the presentations that get missed Diagnosis with transvaginal ultrasound and serial hCG Management: expectant, methotrexate and surgery, with NICE and ACOG criteria Complications, including the emotional impact after an ectopic ⏱️ Timestamps 00:00 Intro – the 2 a.m. case 01:30 Definitions 03:30 Common and uncommon sites 07:30 Risk factors and recurrence 11:00 Clinical presentation and diagnosis 15:30 Management 21:00 Complications 23:30 Recap: five key takeaways 📚 References: NICE NG126 (Ectopic pregnancy and miscarriage, updated 2023); ACOG Practice Bulletin No. 193 (Tubal Ectopic Pregnancy) ⚠️ Disclaimer: This episode is for education only. It does not replace local protocols or individual clinical judgement. If you think you may have an ectopic pregnancy, get medical care right away, especially if you have severe pain, shoulder-tip pain, dizziness or fainting. If this helped, like, subscribe, and share it with a colleague before their next on-call shift. #EctopicPregnancy #Obstetrics #Gynecology #MedicalEducation #OBGYN #MedStudent #EmergencyMedicine #NursingEducation #Midwifery #WomensHealth
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