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Patients who are undergoing assisted reproductive therapy are at increased risks for heterotopic pregnancies.
The classic clinical triad of an ectopic pregnancy includes pain, vaginal bleeding, and a palpable abdominal/pelvic mass.
¡ Other clinical findings include amenorrhea, positive pregnancy test, low hCG, shoulder pain (secondary to intraperitoneal hemorrhage with diaphragmatic irritation), low hematocrit (with rupture), and cervical tenderness.
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