Journal of Mahatma Gandhi University of Medical Sciences and Technology

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VOLUME 4 , ISSUE 2 ( May-August, 2019 ) > List of Articles

CASE REPORT

Meticulous History and Examination: Still Remains the Backbone of Diagnosis

Urvashi Sharma, Umang Juneja, Swati Garg

Keywords : Misdiagnosed, Pelvic inflammatory disease, Tubal corrective surgery,Ectopic pregnancy

Citation Information : Sharma U, Juneja U, Garg S. Meticulous History and Examination: Still Remains the Backbone of Diagnosis. J Mahatma Gandhi Univ Med Sci Tech 2019; 4 (2):49-52.

DOI: 10.5005/jp-journals-10057-0103

License: CC BY-NC 4.0

Published Online: 15-10-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

A high degree of suspicion and an ectopic conscious clinician is required for diagnosis of ectopic pregnancy. Only when you suspect it, a detailed history of the patient and a meticulous examination will reveal the presence of an ectopic pregnancy, which can then be confirmed by the appropriate bedside investigations. The cases of ectopic pregnancy where the diagnosis is delayed or, which are misdiagnosed, carry a high morbidity and mortality, as the morbidity and mortality associated with ectopic pregnancy is directly related to the length of time required for diagnosis. We report three such cases of ectopic pregnancy where the diagnosis was delayed due to variable and unpredictable presentations, in whom the initial history and examination was missed as the presence of ectopic pregnancy was not suspected by the presentation.


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