Ectopic pregnancy soap note

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Ectopic pregnancy

Chang K. Published July 5, Updated December 22, Accessed April 10, By kachangmd. Os is closed. Ectopic Missed Abortion"] [text] Anticipatory guidance, supportive measures and return indications discussed with patient. See DCI. DCI: Bed rest. Pelvic Rest. Drink plenty of fluids. There are 8 form elements. This patient in the first trimester of pregnancy presented to the emergency department with complaints of vaginal bleeding and abdominal pain. A pelvic ultrasound demonstrated normal intrauterine gestation with normal FHT. Rh was positive. UA was positive negative for infection. Ectopic Missed Abortion Anticipatory guidance, supportive measures and return indications discussed with patient. Copy to Clipboard. Comment Name Email Website. Users outside the medical profession are welcome to use this website, but no content on the site should be interpreted as medical advice.

Ectopic pregnancy: A 5-step plan for medical management

John E. Two experts describe a multidose methotrexate regimen, the first choice for unruptured, uncomplicated ectopics. As a result, medical therapy with systemic methotrexate has become the first-line treatment, with surgery reserved for hemorrhage, medical failures, neglected cases, and circumstances in which medical therapy is contraindicated. Early diagnosis not only makes medical therapy possible, it also is cheaper, since it avoids rupture, blood loss, and surgery; preserves fertility; and minimizes lost productivity. Despite this progress, serious challenges remain. Medical management is not for everyone. Success is inversely related to initial serum human chorionic gonadotropin hCG levels 3 and diminishes substantially when embryonic cardiac activity is observed during ultrasound imaging. In addition, because medical therapy has made outpatient treatment the norm in most cases, it has become virtually impossible to chart the prevalence of ectopic pregnancy. In past years, when hospital records were used, ectopic pregnancy rates were increasing relentlessly, from 4. This article describes a 5-step approach to diagnosis and medical management with multiple-dose methotrexate, as well as fine points of treatment and basic surgical technique. It includes a protocol for multiple-dose methotrexate, a table summarizing treatment outcomes, and several case histories. If women present with a positive pregnancy test and pain and bleeding, approximately 60 will have a normal pregnancy, 30 are experiencing spontaneous abortion, and 9 have an ectopic pregnancy. The first step in early diagnosis is being vigilant for risk factors and symptoms associated with ectopic pregnancy, most of which are well known 9 :. Tubal disease carries a 3. In addition, women with a previous ectopic pregnancy are 6 to 8 times more likely to experience another, while a history of tubal surgery raises that likelihood to A history of pelvic infection, including gonorrhea, serologically confirmed chlamydia, and pelvic inflammatory disease, increases the risk of ectopic pregnancy 2 to 4 times. Rather, when a woman with an IUD becomes pregnant, an ectopic gestation should be high on the list of possibilities. A similar relationship exists between ectopic pregnancy and tubal ligation, which carries an OR of 9. Diethylstilbestrol exposure in utero alters fallopian tube morphology and can lead to absent or minimal fimbrial tissue, a small tubal os, and decreased length and caliber of the tube. In vitro fertilization. When blocked tubes are treated, the embryos can migrate retrograde into the oviduct, implant, and eventually rupture. The OR for ectopic pregnancy with assisted reproduction is 4. Ultrasound imaging reveals no intrauterine pregnancy. Should you presume the diagnosis is ectopic pregnancy and start methotrexate therapy? Or should you play it safe and perform curettage? Some practitioners argue that proceeding with methotrexate therapy under these circumstances causes no harm. However, presumptive treatment unnecessarily exposes women to the side effects of chemotherapy and artificially inflates methotrexate success rates. Presumptive treatment does not decrease overall side effects or save money. It also falsely labels a woman as having an ectopic pregnancy, which directly affects future diagnosis and prognosis. A pregnant patient complaining of moderate pain has a 4-cm adnexal mass identified at ultrasound, with no evidence of an intrauterine gestational sac.

Uterine prolapse

Medical Transcription Samples and Examples. Circumcision Medical Transcription Sample Report. Delivery Note Transcription Sample Report. Laparoscopic Appendectomy Operative Sample Report. Laparoscopic Transverse Colectomy Sample Report. Laparoscopic Varicocele Ligation Sample Report. Neurology Consultation Transcription Example Report. Neuropsychological Testing Transcription Sample Report. Privacy Policy. Psychiatric Discharge Summary Sample Report. Thyroid Lobectomy Operative Sample Report. Tonsillectomy Transcription Sample Report. Trabeculectomy Medical Transcription Sample Report. Tympanoplasty with Mastoidectomy Operative Sample Report. Right ectopic pregnancy located in the cornual section of the fallopian tube. This patient is a XX -year-old gravida 4, para 2, AB 1 at approximately 7 weeks' gestation who presented with vaginal bleeding and cramping. An ultrasound performed in the emergency department showed right ectopic pregnancy. After discussion with the patient, decision was made to perform laparoscopic surgery to remove the ectopic pregnancy. Full details and risks of the procedure were discussed at length with the patient, and the patient was in full agreement. The patient was taken to the operating room, placed under general anesthesia and prepped and draped in the usual sterile manner.

The Diagnosis and Treatment of Ectopic Pregnancy

Aka: Ectopic PregnancyTubal Pregnancy. These images are a random sampling from a Bing search on the term "Ectopic Pregnancy. Search Bing for all related images. The uterus, or womb, is an important female reproductive organ. It is the place where a baby grows when a woman is pregnant. If you have an ectopic pregnancy, the fertilized egg grows in an abnormal place, outside the uterus, usually in the fallopian tubes. The result is usually a miscarriage. Get medical care right away if you have these signs. Doctors use drugs or surgery to remove the ectopic tissue so it doesn't damage your organs. Many women who have had ectopic pregnancies go on to have healthy pregnancies later. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. Toggle navigation. Antepartum Disorders Chapter. From Related Chapters. Page Contents Definition Implantation of fertilized ovum outside of the Uterus. Symptoms Pregnancy Symptoms e. Images: Related links to external sites from Bing. Related Studies. Trip Database TrendMD. Ontology: Ectopic Pregnancy C

How to Write a SOAP Note With Obstetric Examples

Pregnancy is an occasion worth celebrating. The formation of a new life inside of a woman is a miracle to behold and should be experienced by women who want to seek the fulfillment you have always wanted. However, no matter how you handle a pregnancy with care there are still instances that it is compromised. Nurses promote life and well-being, so it is a must for us to educate our clients with regards to the complications they could experience during pregnancy. It is important for both the pregnant woman and the health care provider to identify any signs and symptoms of an ectopic pregnancy before rupture occurs. However, most ectopic pregnancy does not show any unusual signs and symptoms at the time of implantation, so it would be difficult to identify them at first. Tests to determine the possibility of ectopic pregnancy must be performed first before the diagnosis. The medical management of a woman with an ectopic pregnancy should be initiated the moment she is brought to the emergency room. Just a few moments of interval for action would cause a big difference in the safety of the patient. Surgical interventions would be performed after the rupture of the ectopic pregnancy to ensure that the reproductive system would still be functional and no complications would arise. Nurses must also have their own function when it comes to ectopic pregnancy, even without a direct order from the physician. Ectopic pregnancy is a menace for both the mother and the zygote. However much we want to save the zygote, it would be impossible because it has grown outside the usual site of implantation. This article helps me a lot in making my case analysis in ectopic pregnancy. A lot of useful informations are cited. A lot information on ectopic pregnancy is being found here. Thank you very much. May Allah reward you. The information on ectopic pregnancy is very useful here. Since we started inNurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers. Sign in. Log into your account. Password recovery. Care Plans. Notes Maternal and Child Health Nursing. Could have been add few more related nursing diagnosis. Add something to the discussion.

3D Pathology Ectopic Pregnancy 1st Trimester TV

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