Ectopic Pregnancy Pathophysiology

PATHOPHYSIOLOGY PHYSIOLOGICAL CAUSES Menstrual reflux Backflow of matured egg cell

ANATOMICAL CAUSES Congenital anomalies

Decreased tubal motility

Slow movement of matured egg cell

OTHER CAUSES

STD s

PID

Previous ectopic pregnancy

Salphingi tis

Sca r

Adhesio n

History of abortio

IUD

Prevents egg cell moveme nt

Endometr ial scarring

Narrowing of tubal

Sperm cell enters

Ovaria n impla

Stasi s

FERTILICATION

FERTILICATION

Tubal impla nt

Abdomin al

Cervic al impla

implant

Cell division via meiosis and

Manifestatio ns of some signs of pregnancy

Increase in size

Uterine enlargement Elevated HCG level Nausea and vomiting

Stretching of maternal tissues (site of

Amenorrhea Activation/rele ase of pain chemicals

Creation of microscopic cuts

Unrecognized/ignor

Continues to Pain perception

Spottin

Abnormal menstruatio n

Inflicts more

Dull pain More pain chemicals are released More microscopic cuts/bigger tissue

Acute lower abdominal

Nausea and vomiting

Bleedin

Kehr’s

Peritoneal

Vaginal

Cul-de-

Rupture

Neck pain

Rectal pressure

Signs of shock