It is not my intention to try to say anything new upon this important subject, nor attempt to call your attention to anything that you do not already know; yet mistakes are so often made in the diagnosis of this condition, by the attending physician, that it seems that further notes of warning should be given to prevent the recurrence of the sad results which are so frequent. The classical symptoms of ectopic pregnancy as given in the text-books are plain and definite.
Generally a married woman who has had one or more children, and who has been sterile for a longer or shorter time misses her period and has all the usual symptoms of pregnancy. In addition to these symptoms she usually has what is more important as an aid to diagnosis, paroxysmal pains occurring in the pelvis. The attacks may come on without any known cause.
INGRAHAM HD. A PLEA FOR THE EARLY AND CORRECT DIAGNOSIS OF ECTOPIC PREGNANCY.. JAMA. 1902;XXXIX(8):409–410. doi:10.1001/jama.1902.52480340003001a
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