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Answer :
Final answer:
The first sign that a fallopian ectopic pregnancy had ruptured is shoulder pain.
Explanation:
The first sign that a fallopian ectopic pregnancy had ruptured is shoulder pain. This occurs due to the build-up of blood from the ectopic pregnancy in the abdomen, which irritates the diaphragm, causing referred pain in the shoulder. Fever, chills, and earache are not typically associated with a ruptured ectopic pregnancy.
The pain may be sharp and severe and is often described as radiating to the shoulder or upper abdomen. Shoulder pain in this context is a critical symptom and requires immediate medical attention, as it is indicative of a life-threatening emergency.
Other symptoms may include severe abdominal pain, dizziness, and signs of shock, such as fainting or rapid heartbeat. Early diagnosis and intervention are crucial to addressing the rupture and preventing further complications.
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