pgpain - Abdominal Pain During Pregnancy Dr.Samir Fouad...

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Abdominal Pain During Pregnancy ِ Dr.Samir Fouad AbdelAziz Assit.Professor Ob.Gyn. Al-Azhar University
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Abdominal pain is a very common symptom in pregnant women. It may be due to pregnancy itself e.g red degeneration in a fibroid or may arise from some concomitant lesion such as appendicitis. It is convenient to divide the causes of pain due to pregnancy into those most commonly found in each of the three trimesters,though of course there is considerable overlap
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First Trimester Abortion Disturbed Ectopic pregnancy pregnancy in rudimentary horn Acute salpingitis Acute Retention of urine
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First Trimester pain Abortion Pain preceeded by vaginal bleeding, Cervix,closed(threatened abortion)or open (inevitable). .U/S.gestational sac inside uterine cavity.
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First Trimester Pain Ectopic pregnancy Pain typically occur before bleeding and blood tend to be dark(prune juice) Pain tends to be limited initially to the affected side,though if interperitoneal bleeding occurs it become generalised & the picture of acute abdomen may develop with shock
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First Trimester Pain Pregnancy in rudimentary horn pain resemble that of ectopic and usually the condition discovered during laparotomy If rupture occurs it usually in the midtrimester and of sudden onset with collapse
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First Trimester Pain Acute Salpingitis May develop up to the 10th.weeks after conception,due to gonococcal infection or infection at attempted attempted abortion Pain felt in both iliac fossae & is continuous There is associated tenderness,tachycardia and elevated temperature,culture of discharge may reveal pathogens
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First Trimester Pain Acute retention of urine is usually due to enlargement of a cervical
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pgpain - Abdominal Pain During Pregnancy Dr.Samir Fouad...

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