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Diagnosis of Ectopic Pregnancy

GIVENS, VANESSA M. MD*; LIPSCOMB, GARY H. MD

Clinical Obstetrics & Gynecology: June 2012 - Volume 55 - Issue 2 - p 387–394
doi: 10.1097/GRF.0b013e31824e3618
Ectopic Pregnancy

The declining death rate from ectopic pregnancy over the last 30 years has resulted not from improvements in operative technique, anesthesia, or blood banking but primarily due to more rapid diagnosis that allows for earlier treatment. Algorithms have been developed to eliminate delays in ordering the various diagnostic tests in the appropriate order. Diagnostic tests include serum human chorionic gonadotropin and progesterone levels, culdocentesis, dilatation and curettage, transvaginal ultrasound, and laparoscopy.

*Departments of Obstetrics and Gynecology

Family Medicine, University of Tennessee Health Science Center, Memphis, Tennessee

The authors declare that they have nothing to disclose.

Correspondence: Vanessa M. Givens, MD, Room E102, 853 Jefferson Avenue, Memphis, TN. E-mail: vgivens@uthsc.edu

© 2012 Lippincott Williams & Wilkins, Inc.