Download AN INTRO ECTOPIC PREGNANCY PowerPoint Presentation

Iframe embed code :

Unable to generate embed code for this presentation.request for embed code @ mail[at]slidesfinder.com

Presentation url :

Home / Health & Wellness / Health & Wellness Presentations / AN INTRO ECTOPIC PREGNANCY PowerPoint Presentation

AN INTRO ECTOPIC PREGNANCY PowerPoint Presentation

PowerPoint is the world's most popular presentation software which can let you create professional AN INTRO ECTOPIC PREGNANCY powerpoint presentation easily and in no time. This helps you give your presentation on AN INTRO ECTOPIC PREGNANCY in a conference, a school lecture, a business proposal, in a webinar and business and professional representations.

The uploader spent his/her valuable time to create this AN INTRO ECTOPIC PREGNANCY powerpoint presentation slides, to share his/her useful content with the world. This ppt presentation uploaded by slidesfinder in Health & Wellness ppt presentation category is available for free download,and can be used according to your industries like finance, marketing, education, health and many more.

About This Presentation

slidesfinder

Description : Ectopic pregnancy, the implantation of a fertilized ovum outside of the endometrial cavity. a leading cause of life-threatening first-trimester morbidity

Tags : AN INTRO ECTOPIC PREGNANCY

Published on : Nov 13, 2014
Views : 1826 | Downloads : 0

Download Now

Share on Social Media

Slide 1 -

ECTOPIC PREGNANCY Danforth’s Obstetrics and Gynecology Tenth edition

Slide 2 -

Ectopic pregnancy, the implantation of a fertilized ovum outside of the endometrial cavity a leading cause of life-threatening first-trimester morbidity Incidence Pathogenesis Sites of implantation Etiology and Risk Factors

Slide 3 -

Tubal Damage and Infection Salpingitis Isthmica Nodosa Diethylstilbestrol Cigarette Smoking Contraception: IUD Tubal ligation OCP Barrier contraception

Slide 4 -

ppt slide no 4 content not found

Slide 5 -

ppt slide no 5 content not found

Slide 6 -

Clinical Manifestations Symptoms: abdominal or pelvic pain vaginal bleeding or spotting a positive pregnancy test(mensturation delay) Signs: Abdominal tenderness rebound tenderness cervical motion tenderness tender adnexal mass

Slide 7 -

Diagnosis: Ectopic pregnancy can be diagnosed as early as 4.5 weeks gestation serial measurements of B-hCG ultrasonography uterine sampling via manual vacuum extraction or curettage serum progesterone levels

Slide 8 -

Human Chorionic Gonadotropin ( B -hCG) The B-hCG, produced by trophoblastic cells in normal pregnancy, has long been accepted to rise at least 66% and up to twofold every 2 days Eight-five percent of abnormal pregnancies, whether intrauterine or ectopic, have impaired B-hCG production with an abnormal rate of B-hCG rise Sonography transvaginal ultrasonography reliably detects intrauterine gestations when the B-hCG levels are between 1,500 and 2,500 mIU/mL Diagnosis of an ectopic pregnancy can be made with 100% sensitivity but with low specificity (15% to 20%) if an extrauterine gestational sac containing a yolk sac or embryo is identified Some sonographic images, such as the pseudogestational sac, may mislead even an experienced examiner to falsely diagnose a gestational sac Ultrasonography should be used to document the presence or absence of an intrauterine pregnancy when the B-hCG levels have risen above the designated discriminatory cutoff zone

Slide 9 -

ppt slide no 9 content not found

Slide 10 -

Progesterone Although progesterone levels are higher in intrauterine pregnancies than in ectopic pregnancies, there is no established cutoff to use to discriminate between these two entities a low progesterone level of less than 5 ng/mL can rule out a normal pregnancy with almost 100% accuracy but does not differentiate whether that pregnancy is an abnormal one in the uterus or at an ectopic site Uterine Evacuation necessary when a transvaginal ultrasonogram and a rising or plateauing B-hCG level below the cutoff value are not sufficient for diagnosis

Slide 11 -

ppt slide no 11 content not found

Slide 12 -

Treatment for Ectopic Pregnancy Medical Management: Methotrexate therapy The folic acid antagonist, methotrexate, inhibits de novo synthesis of purines and pyrimidines, interfering with DNA synthesis and cell multiplication 1-unruptured ectopic pregnancy measuring less than or equal to 4 cm by ultrasonography 2-Hemodynamically stable 3-B-HCG<10,000 4-Exist of FHR Methotrexate treatment regimens include: methotrexate directly impairs trophoblastic production of hCG with a secondary decrement of corpus luteum progestin secretion the multiple dose, single dose,two-dose protocol

Slide 13 -

Methotrexate by Direct Injection bone marrow suppression, hepatotoxicity, stomatitis, pulmonary fibrosis, alopecia, and photosensitivity Side Effects Fortunately, the side effects reported with methotrexate used to treat ectopic pregnancy have mostly been minor Direct Injection of Cytotoxic Agents Prostaglandins, hyperosmolar glucose, potassium chloride, and saline by direct injection have been tried as therapeutic alternatives to methotrexate

Slide 14 -

Surgical Treatment Ruptured Ectopic Pregnancy laparotomy or laparoscopy with salpingectomy is the first choice for rupture Stable Ectopic Pregnancy If methotrexate is contraindicated, laparoscopic salpingostomy is the first surgical choice Persistent Ectopic Pregnancy Following Salpingostomy: drop of <50% from the preoperative level of B-HCG on postoperative day 1 prophylactic methotrexate administration is recommended

Slide 15 -

Other methods segmental excision followed by intraoperative or delayed microsurgical anastomosis Manual fimbrial expression Ectopic Pregnancy and Assisted Reproductive Technology Incidence Location Tubal Pathology Ovulation Induction

Slide 16 -

Rare Types of Ectopic Pregnancy Abdominal Pregnancy Incidence Clinical manifestations Diagnosis treatment Ovarian Pregnancy Cornual Pregnancy Cervical Pregnancy Heterotopic Pregnancy

Slide 17 -

Summary Points In most circumstances, ectopic pregnancy can be diagnosed before symptoms develop and treated definitively with few complications. Quantitative B-hCG testing, ultrasonography, and curettage allow early diagnosis of ectopic pregnancy and use of medical therapy as the initial therapy option. Conservative surgical therapy and medical therapy for ectopic pregnancy are comparable in terms of success rates and subsequent fertility. Medical therapy is the preferred choice because of the freedom from surgical complications and lower cost. Surgery is the treatment of choice for hemorrhage, medical failures, neglected cases, and when medical therapy is contraindicated. Multiple-dose methotrexate is preferable to single-dose methotrexate, direct injection, or tubal cannulation and is the first choice for unruptured, uncomplicated ectopic pregnancy. Laparoscopic salpingostomy or salpingectomy is favored for cases of intra-abdominal hemorrhage, medical failure, neglected cases, and complex cases when medical therapy is contraindicated

Slide 18 -

ppt slide no 18 content not found

Frequently Asked Questions

> About SlidesFinder?

Slidesfinder is a website that allows users to upload and share their PowerPoint presentations online. It provides a platform for individuals and businesses to share their ideas and knowledge through presentations, and for others to view and download these presentations for educational or professional purposes.
Slidesfinder offers a wide range of presentation topics and categories, including business, education, science, technology, health, and more. Users can also search for presentations using keywords, tags, or by category. The website provides tools to create professional presentations with rich media, animations, and graphics.

One of the key features of Slidesfinder is its user-friendly interface, which allows users to easily upload, view, and share presentations. Users can also embed their presentations in their websites or blogs using the website's embed code feature.
Slidesfinder also offers premium services, such as the ability to create private presentations and to download presentations in high-quality formats. However, the basic features of Slidesfinder are free to use, making it accessible to anyone who wants to share their ideas and knowledge through presentations.

> How do I register with SlidesFinder?

Go to registration page (you can see signup link on top of website page) https://www.slidesfinder.com/signup . If you have facebook/gmail account them just click on SIGN IN WITH FACEBOOK OR SIGN IN WITH GOOGLE button, by this you will be a registered member of slidesfinder without filling any form, required detail automatically will be fatch from your account. If you do not a Facebook account, then click on "Signup". Fill all required fields and you will be a registered member of slidesfinder.

> Is slidesfinder account confirmation is mandatory?

Yes it is mandetory to active your account to login.

> Do I need to signup/login on SlidesFinder before uploading a PowerPoint presentation?

Yes, you need to login with your account before uploading presentation. Your username will be displayed on your uploaded presentation. Your registered email id is needed for sending your stats of uploaded presentation.

Slidesfinder is a sharing website for PowerPoint presentations search and share. Find your interest in the form of powerpoint presentations on slidesfinder and save your valuable time . On Slidesfinder you get presentations from our huge library of professional ppt presentations. We believe in making your search INFORMATIVE and FUN. Find your best ppt presentation from a pool of PowerPoint presentations stacked under important industry categories like business & management, heath & Wellness,eduction & training etc. We provide unique informative PowerPoint presentation for marketers, presenters and educationists. These professional PowerPoint presentations are uploaded by professionals from across numerous industry segments.These ppt presentations are available for FREE download.

Not just finding your interest, but facilitate you broadcast your interest. We have created this platform for easy sharing of PowerPoint presentations, ensuring that these presentations get maximum exposure. Create your slidesfinder account and upload PowerPoint presentations for free, share on social media platforms and BUILD YOUR CROWD WITH PRESENTATION !!

The Great Buddha says, "Share your knowledge.It’s a way to achieve immortality"! So, start sharing knowledge and we are here to make that immortal !!

Re-productivity of content are not allowed. Without prior written permission from author, commercial use of any content is illegal.