Median time from presentation to ED to antibiotic administration is 3 hours, although 30 minutes has been suggested. SAH risk increases with age and peaks at age 50. More common in women and African Americans. Arteriovenous malformation more likely the cause of bleeding in the young. About 2 million Americans harbor unruptured aneurysms.
Psychosis can be a presenting feature of a frontal aneurysm.
More EPs due to increased incidence of salpingitis, tubal reconstruction, pelvic inflammatory disease, use of intrauterine devices, and better diagnostic methods. Diagnosis Think EP when pelvic condition does not conform to diagnostic expectations. EP unlikely if beta-hCG level above 50,000. Combination of a beta-hCG level with a pelvic US very useful. Copyright 1996-2001 by Springhouse Corporation .Optimal viewing with Netscape.