lq2006
Forum Elite
Topics: 43
Posts: 382
|
A 27-year-old woman is brought to the emergency
department by
her mother who found her comatose 30 minutes ago. Her
mother says that
her daughter had been having lower abdominal pain and
vaginal bleeding
over the past week. The patient had an ectopic
pregnancy 2 years ago
and was also treated with doxycycline for pelvic
inflammatory disease at
that time. Her blood pressure is 40/20 mm Hg, pulse
is 160/min, and
respirations are 24/min. The abdomen is distended and
rigid with
decreased bowel sounds. Hemoglobin level is 4.2 g/dL,
and leukocyte count is
12,500/mm3. Culdocentesis is positive. Which of the
following is the
most appropriate next step in management?
A
) Bromocriptine therapy
B
) Clomiphene therapy
C
) Conjugated estrogen therapy
D
) Ergot derivative therapy
E
) Hysteroscopy
F
) Laparoscopy
G
) Dilatation and curettage
H
) Endometrial ablation
I
) Exploratory laparotomy
J
) Total abdominal hysterectomy
I thought she should go Exploratory Laparotomy, but...............
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
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i thought exploratory laparotomy too...whats the answer given?
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| lq2006
Forum Elite
Topics: 43
Posts: 382
|
F
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
|
this is an emergency...laparoscopy is usually done in an elective procedure
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| fafa
Forum Newbie
Topics: 0
Posts: 11
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I will also go for ectopic pregnancy ,,and the signs of rupture are obvious,,so next step will be laparatomy
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| lq2006
Forum Elite
Topics: 43
Posts: 382
|
I also chose "Exploratory laparotomy"
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| smalley
Forum Elite
Topics: 51
Posts: 284
|
will go for exploratory laparotomy
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But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
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