Ectopic Pregnancy

A 25-year-old female with right iliac fossa pain presents to the ED with PV (vaginal) bleeding. She tells you she has fainted 2-3 times – she thinks because of the pain. Her observations are SpO2 95%, Respiratory rate 20, heart rate 105, blood pressure 100/60, temperature 36.8 degrees, alert (GCS 15). 

She has no medical problems, and is on cerazette (a progesterone only pill). 

You think this is an ectopic pregnancy.  

Other than those mentioned above, what risk factors might you identify in the history. Give two (0.5 marks for each).

What are the key management steps? (1.5 marks for 3 management steps).

A FAFF scan is performed. This identifies no free fluid. How does this alter your management? (0.5 marks for 2 implantation sites).