Diagnostic and emergency assistance to the syndrome of "acute abdomen"



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CLASSIFICATION

  • CLASSIFICATION
  • Ectopic pregnancies are classified according to location:
  • pipe
  • ovarian;
  • cervical;
  • in a rudimentary horn;
  • Abdominal.
  • 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.

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