Ectopic Pregnancy Pathophysiology

PATHOPHYSIOLOGY PHYSIOLOGICAL CAUSES

Menstrual reflux

Backflow of matured egg cell

ANATOMICAL CAUSES

Decreased tubal motility

Congenital anomalies

OTHER CAUSES

STDs

PID

Previous ectopic pregnancy

Salphingitis

Slow movement of matured egg cell

Scar

Adhesion

History of abortion

IUD

Prevents egg cell movement

Endometrial scarring

Narrowing of tubal diameter Sperm cell enters

Stasis

FERTILICATION

Ovarian implant

FERTILICATION

Tubal implant

Abdominal

implant

Cervical implant

Cell division via meiosis and mitosis

Manifestations of some signs of pregnancy

Increase in size

Uterine enlargement Elevated HCG level Nausea and vomiting

Stretching of maternal tissues (site of implantation)

Amenorrhea Activation/release of pain chemicals

Creation of microscopic cuts

Unrecognized/ignored Continues to enlarge

Pain perception

Spotting

Abnormal menstruation

Inflicts more damage

Dull pain More pain chemicals are released /activated Acute lower abdominal pain

Nausea and vomiting

More microscopic cuts/bigger tissue injuries Bleeding

Kehr’s sign Peritoneal

Rupture

Vaginal

Cul-de-sac Rectal pressure

Neck pain Signs of shock