Which of the following is suggestive of ectopic pregnancy in a young woman with acute abdomen (AIIMS Nov 2010)
|C||Positive urinary HCG|
|D||All of the above|
All of the above
a. Ectopic pregnancy acute. Sudden onset pain, Hypovolemia caused by the blood loss may cause the patients to experience fainting attacks.
b. History of abnormal menstruation may be there.
c. Vaginal examination reveals a normal sized or bulky uterus soft cervix and tenderness on moving the cervix
d. Backache is present during attacks
e. An hCG level of 6500 mU/ml, with an empty uterine cavity by transabdominal ultrasound is virtually diagnostic of an ectopic pregnancy
f. On hCG value of 2000 mU/ml or more can be indicative of an ectopic pregnancy
g. Laparoscopy is the surgical procedure of choice both to confirm an ectopic pregnancy and in most cases to permit pelviscopic removal of the ectopic pregnancy without the need for e exploratory laparotomy.