ECTOPIC GESTATION

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Abstract
The signs and symptoms of ectopic gestation are more distinct and characteristic than those associated with other diseases of the pelvic organs, and may be divided into two groups: (1) the unruptured and (2) the ruptured. The following are the diagnostic signs and symptoms of the unruptured group: Amenorrhea, or some irregularity of menstruation, is generally present (excepting when tubal pregnancy occurs during lactation). Menstruation in tubal pregnancy is as exceptional as it is in uterine pregnancy. As a rule the patient feels that she is pregnant, and may have the characteristic subjective signs peculiar to some individuals. She may suspect that the pregnancy differs in some manner from her previous gestations. Pain is a constant symptom of tubal pregnancy, and is due to the small hemorrhages caused by the eroding villi or the distention of the tube by the constantly growing ovum. The pain is sharp, lancinating and paroxysmal

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