Jul 28, 2008

Tubal pregnancy easily confused with the diseases

With the differential diagnosis of diseases following:

An early pregnancy abortion abortion slower and more pain in the lower abdomen and more central parts of paroxysmal general vaginal bleeding in vaginal bleeding more than the number of hemorrhagic symptoms consistent with the general abdominal tenderness or a little tenderness with no general free movement of anti-Tiaotong vaginal examination of Zhuoyin Cervical no pain after the dome does not give full uterine size and the number of months in line with amenorrhea uterus next to a mass of more bloodshed have children or those with the patients and their families description diagnostic curettage

The acute Salpingitis no history of amenorrhea and early pregnancy is no shock levy abdominal body temperature increased tension on both sides have abdominal tenderness vaginal examination after the dome is not full of normal on both sides of the uterus, often thickened mass Annex tenderness and sometimes significant side After the dome puncture can sometimes take Nongye WBC and neutral classification high negative pregnancy test in particular bleeding salpingits not only lower abdominal tenderness and sometimes anti-Tiaotong mobile Zhuoyin can occur after the dome puncture can take fresh blood of the former are often difficult to identify Caesarean section only after the diagnosis but it was reported that the majority of patients with recent history of abortion such as internal bleeding and more negative hCG (There are reports of up to more than 1200 ml) laparotomy that it is also necessary to see congestion and edema tubal thickening the blood outflow from the umbrella - Pathological not as acute inflammation villus

Three of acute appendicitis in early pregnancy without amenorrhea and no vaginal bleeding, abdominal pain and more from the beginning and then confined to the lower right abdomen is often accompanied with nausea and vomiting symptoms of internal bleeding check right lower abdominal tenderness, tension appendectomy mobile anti-Tiaotong no vaginal examination of Zhuoyin No pain of uterine cervix give normal if the proliferation of appendicitis or tubal affected the right side will have a broader scope of the annex to the right tenderness or bilateral or tenderness on both sides of the annex found no significant negative pregnancy test the temperature increase in high-WBC

4 capsule of ovarian torsion a history of abdominal mass to ease the pain such as the reverse for a transient; reverse the capsule after the formation of a sustained bleeding, abdominal pain and tenderness but is limited to mass anti-Tiaotong on and around the vagina without mobile Zhuoyin Check next to the uterus tenderness cysts no history of amenorrhea and no vaginal bleeding in early pregnancy but should pay attention to the history of early pregnancy has often prompted the ovarian tumor torsion

5 Luteal rupture occurred in the early menstruation and often occur in sexual intercourse after menopause and pregnancy is no no vaginal bleeding and abdominal pain nature of the same signs of pregnancy ruptured tubal pregnancy test negative

6 Qiaoke cyst rupture the disease in young women more prone to spontaneous rupture caused acute abdominal pain but no amenorrhea and early pregnancy in the history of the past without vaginal bleeding may have a progressive dysmenorrhea history of pelvic masses

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