Diagnosis and treatment of ectopic pregnancy
Autor: | Togas Tulandi, Hanadi Baakdah, Heather Murray, Trevor Bardell |
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Rok vydání: | 2005 |
Předmět: |
Adult
medicine.medical_specialty Review Chorionic Gonadotropin Ultrasonography Prenatal Human chorionic gonadotropin Diagnosis Differential Pregnancy Medicine Humans Chorionic Gonadotropin beta Subunit Human Laparoscopy Abortifacient Agents Nonsteroidal medicine.diagnostic_test Ectopic pregnancy business.industry Obstetrics General Medicine Emergency department medicine.disease Pregnancy Ectopic Pregnancy Trimester First Methotrexate Female Ultrasonography Differential diagnosis business medicine.drug |
Zdroj: | CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 173(8) |
ISSN: | 1488-2329 |
Popis: | Ectopic pregnancy is a life- and fertility-threatening condition that is commonly seen in Canadian emergency departments. Increases in the availability and use of hormonal markers, coupled with advances in formal and emergency ultrasonography have changed the diagnostic approach to the patient in the emergency department with first-trimester bleeding or pain. Ultrasonography should be the initial investigation for symptomatic women in their first trimester; when the results are indeterminate, the serum beta human chorionic gonadotropin (beta-hCG) concentration should be measured. Serial measurement of beta-hCG and progesterone concentrations may be useful when the diagnosis remains unclear. Advances in surgical and medical therapy for ectopic pregnancy have allowed the proliferation of minimally invasive or noninvasive treatment. Guidelines for laparoscopy and for methotrexate therapy are provided. |
Databáze: | OpenAIRE |
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