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Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. [5] Signs and symptoms classically include abdominal pain and vaginal bleeding, but fewer than 50 percent of affected women have both of these symptoms. [1] The pain may be described as sharp, dull, or crampy. [1]
Ovarian pregnancy refers to an ectopic pregnancy that is located in the ovary. Typically the egg cell is not released or picked up at ovulation, but fertilized within the ovary where the pregnancy implants. [1] [2] [3] Such a pregnancy usually does not proceed past the first four weeks of pregnancy. [3]
Most of the literature does not distinguish between PLBP and PGP as since their precise definitions often overlap, however it is possible to differentiate them through history taking, clinical examination, provocative test maneuvers, and imaging. [14] Pregnancy-related low back pain and pelvic girdle pain can occur together or separately.
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Concern for shock is increased in those who have loss of consciousness, chest pain, shortness of breath, or shoulder pain. [1] Common causes of early pregnancy bleeding include ectopic pregnancy, threatened miscarriage, and pregnancy loss. [1] [2] Most miscarriages occur before 12 weeks gestation age. [2]
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It is named for gynecologist Thomas Stephen Cullen (1869–1953), [1] who first described the sign in ruptured ectopic pregnancy in 1916. [ 2 ] This sign takes 24–48 hours to appear and can predict acute pancreatitis , with mortality rising from 8–10% to 40%.
Mittelschmerz (German: [ˈmɪtl̩ʃmɛʁt͡s] ⓘ) is a term for pain due to ovulation.It occurs mid-cycle (between days 7 and 24) and can last minutes to up to several days. [4]