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Kehr's sign is a classic example of referred pain: irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the collarbone. This is because the supraclavicular nerves have the same cervical nerves origin as the phrenic nerve, C3, C4, and C5.
Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. [5] Signs and symptoms classically include abdominal pain and vaginal bleeding, but fewer than 50 percent of affected women have both of these symptoms. [1]
Concern for shock is increased in those who have loss of consciousness, chest pain, shortness of breath, or shoulder pain. [1] Common causes of early pregnancy bleeding include ectopic pregnancy, threatened miscarriage, and pregnancy loss. [1] [2] Most miscarriages occur before 12 weeks gestation age. [2]
This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679. The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1.
A cervical pregnancy is an ectopic pregnancy that has implanted in the uterine endocervix. [2] Such a pregnancy typically aborts within the first trimester , however, if it is implanted closer to the uterine cavity – a so-called cervico-isthmic pregnancy – it may continue longer. [ 3 ]
Cervical motion tenderness or cervical excitation is a sign found on a gynecological pelvic examination suggestive of pelvic pathology.Classically, it is present in the setting of pelvic inflammatory disease (PID) or ectopic pregnancy and is of some use to help differentiate PID from appendicitis. [1]
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Heterotopic pregnancies present with unspecific clinical symptoms. This means the symptoms of a heterotopic pregnancy can be the same symptoms found in several other medical conditions. The most common clinical symptoms are abdominal pain, vaginal bleeding, enlarged uterus, and/or an adnexal mass. [4]