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draniSend an Instant Message to drani  




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Quick Scroll Obs - ectopic preg 09.11.06 (1 year ago) #1
what is the investigation of choice for:
1. acute (ruptured) ectopic
2. unruptured ectopic

sorry am not framing it in mcq manner....
acc to me ans for 1. is laparotomy, and for 2. is usg.
pls correct if wrong and give ur opinion
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Quick Scroll 09.12.06 (1 year ago) #2
if evidences suggest that the pregnancy has been ruptured than the investigation is laparotomy neither USG. in except case USG will b done.
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Quick Scroll 09.12.06 (1 year ago) #3
sufi wrote:
if evidences suggest that the pregnancy has been ruptured than the investigation is laparotomy neither USG. in except case USG will b done.


dint get u?
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Quick Scroll 09.15.06 (1 year ago) #4
sufi is right in a suspected case the investigation of choice is laprotomy. and in unruptured cases its laproscopy
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Quick Scroll 10.24.07 (10 months ago) #5
hi
Investigation for ruptured should be culdocentesis..laparatomy is treatment..
Unruptured..USG plus Laparascopy..i agree
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Quick Scroll 10.30.07 (10 months ago) #6
culdocentesis is a procedure widely used in the past to detect haemoperitoneum.laparotomy shoud be done when culdocentesis is positive.
now laparoscopy is considered as the definitive diagnostic procedure for an ealy diagnosis of ectopic preg.
so ans sud be laparoscopy in both
usg can easily miss a small ectopic preg unless it is a transvaginal
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Quick Scroll 10.31.07 (10 months ago) #7
Linky wrote:
culdocentesis is a procedure widely used in the past to detect haemoperitoneum.laparotomy shoud be done when culdocentesis is positive.
now laparoscopy is considered as the definitive diagnostic procedure for an ealy diagnosis of ectopic preg.
so ans sud be laparoscopy in both
usg can easily miss a small ectopic preg unless it is a transvaginal
hmm. culdocentesis has its own limitations with both false positive & false negative results.
diagnostic laparoscopy is the most definitive invs in unruptured ectopic.
however with ruptured ectopic the choice is mostly based on the pt's hemodynamic status , if she is stable laparoscopy is indicated
if hemodynamically unstable laparotomy is the choice
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Quick Scroll 11.22.07 (9 months ago) #8
LAPROSCOPY FOR DEFINITIVE DIAGNOSIS FOR BOTH RUPTURED OR UNRUPTURED E.PREGNANCY .CULDOCENTESIS RARELY DONE
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Quick Scroll 12.12.07 (8 months ago) #9
laproscopy
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Quick Scroll 12.29.07 (8 months ago) #10
laparocopy for both.if ur diagnosis is confirmed n u as a surgeon cannot manage a rutured ectopic laparoscopically convert 2 laparotomy
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