Ectopic pregnancy, Tension Pneumothorax and Myocardial Infarction
Presenting complaint, history of presenting complaint and physical findings

Name: Tashaine Campbell
Date: March 27, 2013
Class: Practice of Medicine
An ectopic pregnancy is one in which the fertilized egg attaches itself in a place other than inside the uterus. Almost all (more than 95 percent) ectopic pregnancies occur in a fallopian tube; hence the term "tubal" pregnancy. Rarely, the egg may implant elsewhere, such as in the abdomen, ovary, or cervix.

Presenting complaint:

Miss Mao who is 25 years old, complains of a "sharp and stabbing abdominal pain" accompanied by dizziness and eventual loss of consciousness/syncope. She also has been experiencing bleeding.

History of presenting complaint/Illness:

* She suddenly experienced a sharp right pain localized to the right iliac area, intensity described as 10/10, with radiation to the tip of the right shoulder.

* There was accompanying nausea, dizziness and eventual fainting/loss of consciousness. * Most commonly presents 6–8 weeks after last menstrual period. * Classic triad: Pregnant, bleeding or spotting, pelvic pain. * Rupture causes sudden increase in pain, dizziness, and anemia leading to shock and cardiovascular collapse. * Some degree of intermittent abdominal pain in the past 2 weeks, which had initially been dull, but intensity has become much sharper and episodic. * She described this current episode as the sharpest and most painful. * This is first time syncope is associated with the lower abdominal pain. * Pain is worse with movement, and no alleviating factors are reported.

Physical Examination:

* Well-developed secondary sexual characteristics.

* She was met lying on hospital bed, dressed in hospital examining gown, in pain and