Now its FIVE!!

When i said earlier that ectopics comes in three..boy am i so so wrong. Another two patient with ectopics was admitted over a 24 hour period. First patient was seen by myself and the other by my colleague earlier today.

I was oncall last night and about 330 hrs plus, had a call from the A+E sister saying that they are really working their butt off...and requested for me to see this patient who hasnt been seen since she came in around 2300hrs.

Me: Hello, its the gynae reg here..... (waiting for an answer)

Sister: oh...hi there... a+e is really busy and i was wondering whether you would be kind enough to help us see this one patient who has a positive urine pregnancy test and in quite a lot of abdominal pain. And she has been here since like 3 hours ago and none of the doctors here are able to attend to her... would you mind?

Me: Sure.. will be there in a second

Sister: you are a star....thanks....

Knowing that A+E is where you hardly get any help, i rushed (well, literally walk) over to the delivery unit...grabbed a few speculums (my plastic companion during my oncalls), swabs, gels and glove and went downstairs.

After a quick history taking and examination...i concluded that she had a ruptured ectopic. I admitted the lady and performed an ultrasound scan on her which true enough showed collection of fluid (very likely blood) posterior to her empty womb...and also all over her liver.

She underwent a diagnostic laparoscopy (keyhole surgery) and subsequently a laparotomy to remove an ovarian ectopic.

I saw her again just now...and she appears to be alright. YEAH!!! another life saved!!