On the clinical course of ectopic pregnancy are classified as follows:
Progressing
Impaired:
- By type of tubal abortion; - The type of rupture of the uterine tube.
CLINICAL PICTURE
CLINICAL PICTURE
Rupture the fallopian tube occurs suddenly and leads to bleeding, usually massive(intraperitoneal). Patients
concerned about spotting from the genital tract (in tubal abortion), one-sided cramping or persistent pain in lower abdomen, irradiated into the rectum, dizziness, weakness, nausea, diarrhea, flatulence. In anamnesis delaying of menstruation for 4-8 weeks, the probable signs of pregnancy. Typical positive immunological reactions to pregnancy, deterioration of general condition, pale skin and fainting condition in patient.
With continued bleeding developing hemorrhagic shock and posthemorrhagic anemia. Severity of hemodynamic disorders directly related to the shortage of VCB (volume of circulatory blood).
For ovarian apoplexy is typical intra-abdominal bleeding (anemic form) and pain (pain form). Disease begins acutely, with a sudden pain in lower abdomen, mainly on the affected side.