Ectopic Pregnancy

Why did you choose ectopic pregnancy as the primary dx and not ovarian torsion?

Do 1 page

Provide references

Attached you will see my discussion where I chose Ectopic Pregnancy as the primary diagnosis.

Important questions to include when interviewing a patient with this issue include: 

· Does your pelvic pain turn worse or better getting involved in an activity?

· Any improvement in your pelvic pain since it started?

· How can you describe the kind of pain you are experiencing?

· Have you ever experienced pelvic pain before?

· Does the pain seem to come from another region, if so, where?

· Have you recently visited a clinic; if so, what medications were you prescribed?

· What are the events surrounding the pelvic pain?

· Is your pelvic pain superficial or deep inside?

· How severe is the pain on a scale of 0-10?

· Do you have bleeding between your menses?

· Do you have pain with intercourse?

· How long do your periods last?

· Are your breasts tender?

· Have you been diagnosed with a pelvic inflammatory disease?

· Is there a chance your pregnant now?

· Have you ever been pregnant?

· Has there been any trauma to the pelvis?

· Also, are there any urinary symptoms?

The clinical findings that may be present in a patient with this issue

Clinical results such as missed menstrual cycles, abdominal pain presented with palpation, tachycardia, vaginal discharge, vomiting, and acute pelvic pain would be shown when there is tubal pregnancy (Michigami et al., 2020). According to Schuiling & Likis (2016), abdominal, vaginal discharge, pelvic/LLQ pain, and amenorrhea are typical clinical symptoms for ectopic pregnancy.

Diagnostic studies ed on this patient

A doctor would perform these diagnostic tests based on the recorded client history. They include – plasma human chorionic gonadotropin (HCG), liver function test (LFT), blood type and screen, obstetric ultrasound, progesterone, urinalysis (UA), and complete blood count (CBC) (Schuiling & Likis, 2016). A physician will be able to rule out some differential diagnoses and other complications. For instance, pelvic pain/bleeding from endometriosis, or low H&H from blood loss (Michigami et al., 2020).

The primary diagnosis and three differential diagnoses for this patient

Ectopic pregnancy could be the primary diagnosis because the client said she engaged in unprotected sexual intercourse. Ovarian cyst, spontaneous abortion, and endometriosis are the other three differential diagnoses (Schuiling & Likis, 2016). Ultrasound test results confirmed the presence of ectopic pregnancy. The type of differential diagnosis to perform as determined by the test performed and the client’s present symptoms. The appearance of dyspareunia, irregular menses, and unilateral pelvic pain suggested ovarian cyst (Schuiling & Likis, 2016). Symptoms like dysmenorrhea, irregular vaginal or uterine bleeding, and chronic intermittent pelvic would indicate endometriosis. Lastly, spontaneous abortion presents with pelvic pain, sometimes back pain, and vaginal discharge.

The management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups

My management plan for this client would involve monitoring for signs and symptoms of ectopic mass rupture, maintaining her hemodynamic levels, and determining if the patient requires surgical or medication intervention depending on her condition level. Surgical alternatives available are either salpingectomy or salpingostomy. Salpingectomy is the removal of the oviduct, while salpingostomy creates an opening in the oviduct (Shatkin Hamish et al., 2020). Methotrexate drugs would be prescribed in she does not go for a surgery. According to Shatkin Hamish et al. (2020), medication is advantageous over the surgical method since the patient will terminate her early pregnancy stage using Methotrexate (MTX) dosage to stop cells from dividing and multiplying without undergoing an excruciating pain. After two days, I would follow up with OB/GYN if treated with MTX for repeat bloodwork, ultrasound, and plasma HCG. I will advise the patient to go for ER in case the symptoms worsen.

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Order your paper today and save 30% with the discount code HAPPY

X
Open chat
1
You can contact our live agent via WhatsApp! Via + 1 323 412 5597

Feel free to ask questions, clarifications, or discounts available when placing an order.

Order your essay today and save 30% with the discount code HAPPY