Embarazo ectópico complicaciones y factores de riesgo, estudio a realizar en pacientes del Hospital Matilde Hidalgo de Procel año 2013 - 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
El embarazo ectópico es un diagnóstico de alto riesgo el medico necesita tener una alto índice de sospecha, y comprender que la historia clínica, el examen físico y una toma única cuantitativa de GCh-β no descartan un embarazo ectópico. La mayoría de las pacientes embarazadas que se presentan en la sala de urgencia durante el primer trimestre del embarazo, con dolor abdominal o pélvico, independientemente de la presencia de sangrado vaginal deben ser evaluadas por ultrasonografia. Los hallazgos del USG en conjunto con los niveles de GCh-β guían en el manejo de la paciente.
El embarazo ectópico debe de ser uno de los primeros pensamientos a tener en cuenta del médico de urgencias, cuando evalúa a una mujer en edad reproductiva, que se presenta en la sala de Urgencias con dolor abdominal o sangrado vaginal. Esta preocupación está bien justificada debido a que la frecuencia de embarazos ectópicos ha ido en aumento. No obstante a pesar del descenso del 90% en la mortalidad del embarazo ectópico durante este periodo, el embarazo ectópico es todavía la causa más frecuente de muerte relacionada con el embarazo en el primer trimestre de embarazo informándose un 9% al 13% de todas las muertes relacionadas con el embarazo. A pesar del incremento en la frecuencia y el incremento en los métodos de detección, el embarazo ectópico es mal diagnosticado en más del 40% de los pacientes que visitan por primera vez la sala de urgencias. Finalmente el fallo en el diagnóstico de embarazo ectópico es una de la causas principales de riesgo de mala práctica en la medicina de urgencias. La revisión es seguida de una discusión de un abordaje al paciente que se presenta al departamento de urgencias con sospecha de embarazo ectópico
Ectopic pregnancy is a high-risk Diagnostics the medical need to have a high index of suspicion, and understand the clinical history, physical examination and a quantitative single shot of HCG-β do not rule out an ectopic pregnancy. The majority of pregnant patients presenting in the emergency room during the first trimester of pregnancy, with abdominal or pelvic pain, regardless of the presence of bleeding vagina, l should be evaluated by ultrasonography. The findings of the USG in conjunction with hCG-β levels guide in the management of the patient. Ectopic pregnancy should be one of the first thoughts to keep in mind of the medical emergency, when it assesses a woman in reproductive age, presenting in the emergency room with vaginal bleeding or abdominal pain. This concern is well justified since the frequency of Ectopic pregnancies has been increasing. But despite a decline of 90% mortality during this period ectopic pregnancy, ectopic pregnancy is still the cause most frequent death related to pregnancy in the first trimester of pregnancy informandose 9% to 13% of all deaths related to pregnancy. Despite the increase in the frequency and an increase in detection methods, ectopic pregnancy is poorly diagnosed in more than 40% of the patients who visit the emergency room for the first time. Finally the bug in the diagnosis of pregnancy ectopic is one of the main causes of risk of malpractice in emergency medicine. The review is followed by a discussion of an approach to the patient presenting with suspected ectopic pregnancy Emergency Department
Ectopic pregnancy is a high-risk Diagnostics the medical need to have a high index of suspicion, and understand the clinical history, physical examination and a quantitative single shot of HCG-β do not rule out an ectopic pregnancy. The majority of pregnant patients presenting in the emergency room during the first trimester of pregnancy, with abdominal or pelvic pain, regardless of the presence of bleeding vagina, l should be evaluated by ultrasonography. The findings of the USG in conjunction with hCG-β levels guide in the management of the patient. Ectopic pregnancy should be one of the first thoughts to keep in mind of the medical emergency, when it assesses a woman in reproductive age, presenting in the emergency room with vaginal bleeding or abdominal pain. This concern is well justified since the frequency of Ectopic pregnancies has been increasing. But despite a decline of 90% mortality during this period ectopic pregnancy, ectopic pregnancy is still the cause most frequent death related to pregnancy in the first trimester of pregnancy informandose 9% to 13% of all deaths related to pregnancy. Despite the increase in the frequency and an increase in detection methods, ectopic pregnancy is poorly diagnosed in more than 40% of the patients who visit the emergency room for the first time. Finally the bug in the diagnosis of pregnancy ectopic is one of the main causes of risk of malpractice in emergency medicine. The review is followed by a discussion of an approach to the patient presenting with suspected ectopic pregnancy Emergency Department
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Embarazo ectópico, Factores de riesgo, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador