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- W2397668207 abstract "A case of ectopic pregnancy in a 37-year old woman who had been sterilized 13 years before is described followed by are view of the difficulties of diagnosing ectopic pregnancy especially for primary care physicians. This woman initially complained of dyspepsia malaise and not feeling and was given an upper GI scan and gallbladder ultrasonography which were negative. A few days later she again presented with right shoulder pain abdominal pain and weakness. Her menses were 2 weeks late and her hematocrit was 22. A liter of fluid was withdrawn from the cul de sac and a gestational sac was found in the left tube during surgery. Ectopic pregnancy the leasing cause of death in 1st trimester is uncommon in primary care but can lead to emergency surgery brain damage and death. It often causes symptoms of pregnancy acute abdominal pain bleeding and amenorrhea. Just as often pregnancy tests are negative a mass may only be felt on the contralateral side neck or shoulder pain may be present or shock may be the 1st sign. Risk factors of ectopic pregnancy should be elicited. The physician should be suspicious and order culdocentesis an immunoassay pregnancy test hematocrit ultrasonography and laparoscopy." @default.
- W2397668207 created "2016-06-24" @default.
- W2397668207 creator A5046791631 @default.
- W2397668207 date "1992-02-15" @default.
- W2397668207 modified "2023-09-25" @default.
- W2397668207 title "A Sterilized Woman Who Did Not Feel Right" @default.
- W2397668207 cites W2151837611 @default.
- W2397668207 doi "https://doi.org/10.1080/21548331.1992.11705359" @default.
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- W2397668207 hasPublicationYear "1992" @default.
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