What is the physical examination for acute ectopic pregnancy?

We know that the physical examination of acute ectopic pregnancy is mainly reflected in the abdomen in life, so how should we check for acute ectopic pregnancy? The following is the expert's answer, I hope it will be helpful to you!

Physical examination of ectopic pregnancy:

⑴Usually, the physical examination of acute ectopic pregnancy is acute anemia when there is a lot of intra-abdominal bleeding. When there is a lot of bleeding, there are shock symptoms such as pale face, cold limbs, fast and weak pulse and decreased blood pressure. The body temperature is generally normal, slightly lower in shock, and may rise slightly when the intra-abdominal blood is absorbed, but not more than 38℃.

⑵ Abdominal examination shows obvious tenderness and rebound pain in the lower abdomen, especially on the affected side, but the tension of the abdominal muscles is lighter than the board-like abdomen during peritonitis. When there is more bleeding, there is a mobile dullness on percussion. After a long time, blood clots will form. Soft lung masses can be felt in the lower abdomen. Repeated bleeding will make the mass larger and harder. Abdominal examination is generally the main item of the physical examination for ectopic pregnancy.

⑶ Pelvic examination shows that the posterior vaginal fornix is ​​full and tender. The cervix has obvious pain when it is lifted. Gently lifting the cervix or shaking it left and right can cause severe pain. The uterus is slightly larger and soft. When there is a lot of internal bleeding, the uterus has a floating feeling. A lump can be felt on one side or the back of the uterus. It is like a wet dough with unclear boundaries and obvious tenderness. Interstitial pregnancy is different from tubal pregnancy in other parts. The size of the uterus is basically consistent with the month of amenorrhea, but the uterine contour is asymmetrical, the affected side of the uterine angle is protruding, and the signs caused by rupture are very similar to uterine rupture during pregnancy.

I hope the above introduction to the physical examination of ectopic pregnancy is helpful to you. If you have such signs in your life, I hope you will go to the hospital for a detailed examination as soon as possible and receive timely treatment as soon as possible. I wish you a speedy recovery!

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