Ectopic pregnancy occurs when the fetus implants outside the uterus or to an abnormal portion of the uterus. It is the result of flaw in the reproductive physiology that allows the fetus to implant outside the endometrial cavity. This leads to the death of the fetus. Ectopic pregnancy is the main cause of maternal death in early pregnancy. Nearly 0.25-2.0% of pregnancies are ectopic.0.91% of pregnant women were reported with ectopic pregnancy in a study done at tertiary care hospital in South India. Medication: If the fallopian tube has not ruptured medication alone can help the situation. Methotrexate, a folic acid antagonist which inhibits DNA synthesis and cell replication is used. The mechanism of action is to kill cytotrophoblast cell that dividing rapidly at the fallopian tube which then the body spontaneously reabsorbs. Laparoscopy is done for pregnant women with extensive bleeding, or poor visualization of the pelvis. Women with the history of ectopic pregnancy should have an early diagnosis. Women with any infections or pelvic inflammatory diseases should get regular checkups. Laparoscopy is the gold standard surgical treatment for ectopic pregnancy in those women with ruptured fallopian tube.

A Stroke occurs when blood vessels in the brain get rupture and bleed or when there is a blockage in the blood supply to the brain due to plaque. Ischemic stroke occurs when there is restricted blood flow to the brain due to vascular stenosis or insufficient oxygen supply. Hemorrhagic stroke occurs when there is a rupture of a blood vessel which leads to accumulation of blood in the brain. Ischemic stroke ranges from mild (Transient ischemic stroke) to severe (severe ischemic stroke). Ischemic stroke is diagnosed by physical examination, various blood tests, Computed tomography scan, Magnetic resonance imaging scan, Carotid Ultrasound, Cerebral angiogram, Echocardiogram and can also be done by using new techniques such as cone beam imaging, cerebrotech stroke detecting visor. The first step for treating the ischemic stroke is an emergency response which can be done by tissue plasminogen activator and mechanical thrombectomy. Secondary treatment includes Carotid artery stenosis, Carotid endarterectomy, Carotid artery stenting and it can also be treated by some new techniques such as vivistim nerve stimulation treatment and cerenovus aneurysm device. Relevant treatment of ischemic stroke is essential in the reduction of mortality and morbidity.

Depression event is a few times higher in individuals with diabetes mellitus, most of the cases staying under-analyzed. The motivation behind this survey was to show the connections among melancholy and diabetes, bring up the significance of recognizing despondency in diabetic patients and distinguish the potential ways of tending to the two infections. Conceivable normal pathophysiological instruments as pressure and irritation were clarified, while accentuation was made on evaluating for misery in diabetic patients. A significant viewpoint for the diabetic expert would be the comprehension of the normal beginnings of diabetes and wretchedness and the familiarity with this very normal comorbidity, to work on the results of the two infections. In any case, the World Health Organization cautions us that there is "a significant hole between the weight brought about by mental issues and the assets accessible to forestall and treat them. It is assessed that four out of five individuals with genuine mental problems living in low and center pay nations don't get the emotional wellness benefits that they need". A multidisciplinary approach of the diabetic patient would assist with working on the results of illness, decline the quantity of DALYs and even mortality.