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PATHOPHYSIOLOGY

PHYSIOLOGICAL CAUSES

Menstrual reflux

Backflow of
matured egg cell

ANATOMICAL CAUSES

Decreased tubal
motility

Congenital anomalies

OTHER CAUSES

STDs

PID

Previous ectopic
pregnancy

Salphingitis

Slow movement
of matured egg
cell

Scar

Adhesion

History of
abortion

IUD

Prevents
egg cell
movement

Endometrial
scarring

Narrowing of tubal diameter


Sperm
cell
enters

Stasis

FERTILICATION

Ovarian
implant

FERTILICATION

Tubal
implant

Abdominal

implant

Cervical
implant

Cell division via meiosis and mitosis

Manifestations
of some signs
of pregnancy

Increase in size

Uterine enlargement
Elevated HCG level
Nausea and vomiting

Stretching of maternal tissues (site of implantation)

Amenorrhea
Activation/release
of pain chemicals

Creation of
microscopic cuts

Unrecognized/ignored
Continues to enlarge

Pain perception

Spotting

Abnormal
menstruation

Inflicts more damage

Dull pain
More pain chemicals are released /activated
Acute lower
abdominal
pain

Nausea and
vomiting

More microscopic cuts/bigger tissue injuries


Bleeding

Kehrs sign
Peritoneal

Rupture

Vaginal

Cul-de-sac
Rectal pressure

Neck pain
Signs of shock

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