A clinical dilemma, the diagnosis of ectopic pregnancy

Introduction: ectopic pregnancy is currently a world of health problem. The increase in its incidence is attributed to the difficulties in the diagnosis that are often presented and to the morbidity and mortality that derive from it. It is one of the first causes of death in the first quarter of pre...

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Main Authors: Carlos Moya Toneut, Javier Cruz Rodríguez, Miguel Román Sarduy Nápoles
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas 2024-03-01
Series:Acta Médica del Centro
Subjects:
Online Access:https://revactamedicacentro.sld.cu/index.php/amc/article/view/1905
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author Carlos Moya Toneut
Javier Cruz Rodríguez
Miguel Román Sarduy Nápoles
author_facet Carlos Moya Toneut
Javier Cruz Rodríguez
Miguel Román Sarduy Nápoles
author_sort Carlos Moya Toneut
collection DOAJ
description Introduction: ectopic pregnancy is currently a world of health problem. The increase in its incidence is attributed to the difficulties in the diagnosis that are often presented and to the morbidity and mortality that derive from it. It is one of the first causes of death in the first quarter of pregnancy. Objective: assess ectopic pregnancy as a clinical dilemma for diagnosis. Methods: a narrative bibliographic review was carried out that included various texts, articles, printed and digital materials related to ectopic pregnancy. The databases and directories Scielo, Lilacs, Latindex, Medline and Scopus were consulted, through the keywords in Spanish and Bollean operators to expand the results: “Hemorrhages” and “Ectopic pregnancy”. 22 original and review articles were selected, in the national and international context, published between 2000 and 2020. Development: in every nosological illness a good interrogation and a physical examination favor the diagnosis, however difficult it may be. Following the steps of the clinical method helps to obtain an appropriate and timely diagnosis. It is transcendental that the doctor knows the pathophysiology and the clinical elements in ectopic pregnancy, which can go to look in an exquisite interrogation and a detailed physical examination. Conclusions: the diversity of possible clinical presentations has led to "the great simulator of gynecology", so it constitutes a clinical dilemma its diagnosis in the different levels of health care.
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spelling doaj-art-1b4f4f61a1b945cf823612b3667ff3632025-02-05T02:08:57ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272024-03-01181e1905e19051233A clinical dilemma, the diagnosis of ectopic pregnancyCarlos Moya Toneut0Javier Cruz Rodríguez1Miguel Román Sarduy Nápoles2Hospital Provincial General "Mártires del 9 de abril"Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"Hospital Ginecobstétrico Universitario “Ramón González Coro”Introduction: ectopic pregnancy is currently a world of health problem. The increase in its incidence is attributed to the difficulties in the diagnosis that are often presented and to the morbidity and mortality that derive from it. It is one of the first causes of death in the first quarter of pregnancy. Objective: assess ectopic pregnancy as a clinical dilemma for diagnosis. Methods: a narrative bibliographic review was carried out that included various texts, articles, printed and digital materials related to ectopic pregnancy. The databases and directories Scielo, Lilacs, Latindex, Medline and Scopus were consulted, through the keywords in Spanish and Bollean operators to expand the results: “Hemorrhages” and “Ectopic pregnancy”. 22 original and review articles were selected, in the national and international context, published between 2000 and 2020. Development: in every nosological illness a good interrogation and a physical examination favor the diagnosis, however difficult it may be. Following the steps of the clinical method helps to obtain an appropriate and timely diagnosis. It is transcendental that the doctor knows the pathophysiology and the clinical elements in ectopic pregnancy, which can go to look in an exquisite interrogation and a detailed physical examination. Conclusions: the diversity of possible clinical presentations has led to "the great simulator of gynecology", so it constitutes a clinical dilemma its diagnosis in the different levels of health care.https://revactamedicacentro.sld.cu/index.php/amc/article/view/1905embarazo ectópicodiagnóstico clínicodilema clínico
spellingShingle Carlos Moya Toneut
Javier Cruz Rodríguez
Miguel Román Sarduy Nápoles
A clinical dilemma, the diagnosis of ectopic pregnancy
Acta Médica del Centro
embarazo ectópico
diagnóstico clínico
dilema clínico
title A clinical dilemma, the diagnosis of ectopic pregnancy
title_full A clinical dilemma, the diagnosis of ectopic pregnancy
title_fullStr A clinical dilemma, the diagnosis of ectopic pregnancy
title_full_unstemmed A clinical dilemma, the diagnosis of ectopic pregnancy
title_short A clinical dilemma, the diagnosis of ectopic pregnancy
title_sort clinical dilemma the diagnosis of ectopic pregnancy
topic embarazo ectópico
diagnóstico clínico
dilema clínico
url https://revactamedicacentro.sld.cu/index.php/amc/article/view/1905
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AT miguelromansarduynapoles aclinicaldilemmathediagnosisofectopicpregnancy
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AT javiercruzrodriguez clinicaldilemmathediagnosisofectopicpregnancy
AT miguelromansarduynapoles clinicaldilemmathediagnosisofectopicpregnancy