RT Book, Section A1 Heaton, Heather A. A2 Tintinalli, Judith E. A2 Stapczynski, J. Stephan A2 Ma, O. John A2 Yealy, Donald M. A2 Meckler, Garth D. A2 Cline, David M. SR Print(0) ID 1121509219 T1 Ectopic Pregnancy and Emergencies in the First 20 Weeks of Pregnancy T2 Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071794763 LK accessmedicine.mhmedical.com/content.aspx?aid=1121509219 RD 2024/03/29 AB The differential diagnosis for women of childbearing potential who present with abdominal or pelvic symptoms or abnormal vaginal bleeding is broad (Table 98-1). The major clinical goals are, first, diagnosis of pregnancy, and then if pregnant, differentiating ectopic pregnancy from threatened abortion. Consider ectopic pregnancy in women of childbearing age who report abdominal or pelvic pain or discomfort, vaginal spotting or a cycle of amenorrhea, or unexplained signs or symptoms of hypovolemia. There are rare case reports of ectopic pregnancy in patients with ovaries but without a uterus. No combination of signs or symptoms is sufficient to exclude ectopic pregnancy. If pregnancy is detected, ectopic pregnancy remains in the differential diagnosis until it can be either confirmed or excluded with conviction.