Diagnóstico temprano del embarazo ectópico en la atención primaria en salud

Abstract

INTRODUCTION: INTRODUCTION: Acute pelvic pain is the most common symptom and that is why it is one of the reasons why women go to a medical consultation, it is necessary to define if this pain is the product of ectopic pregnancy, because in gynecology it is one of the first causes of acute gynecological abdomen. OBJECTIVE: To identify clinical, imaging and laboratory symptoms and signs for the early diagnosis of ectopic pregnancy in primary health care. METHODOLOGY: It is a bibliographic review, based on scientific articles on ectopic pregnancy and acute gynecological abdomen obtained from online sites such as pubmed, google academico, scielo and cochrane; has articles verified by Scimago Journal & Country Rank dating from the last five years quartile one and two. CONCLUSION: Predisposing risk factors: previous tubal surgery, IUD, treatments for infertility, smoking, previous pelvic infection; symptoms varied from 60 to 80% of pregnancies present transvaginal bleeding; for the diagnosis, the BHCG must be quantified, its result is key for the differential diagnosis with other pathologies, it is indicated that the BHCG must be greater than 1000 IU / L to detect pregnancy by ultrasound; Ultrasound is the most widely used imaging diagnosis, sensitivity of 87% to 99% and specificity of 94% to 99%. Other findings are: 60% sign of gout: inhomogeneous mass in the adnexa; with a specificity of 100% presence of gestational sac or embryo of extrauterine location, another sign is the presence of an adnexal mass.