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Re: management of ? ectopic From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Sat Mar 6 03:38:59 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: IBM Settles Birth Defects Suit" Previous message: Garry E. Siegel, M.D.: "Re: suspected macrosomia outcome ?" In reply to: anuradha akolekar: "Fwd: management of ? ectopic" Next in thread: Joanne Bulley, MD: "Re: management of ? ectopic" Reply: Joanne Bulley, MD: "Re: management of ? ectopic" At Sun, 29 Feb 2004, anuradha akolekar wrote: > >Note: forwarded message attached. > >Received: from [202.88.165.94] by web60808.mail.yahoo.com via HTTP; Fri, 27 Feb 2004 23:18:25 PST >Date: Fri, 27 Feb 2004 23:18:25 -0800 (PST) >From: anuradha akolekar <anu_doc2003@yahoo.com> >Subject: management of ? ectopic >To: training-request@obgyn.net >MIME-Version: 1.0 >Content-Type: multipart/alternative; boundary="0-996778144-1077952705=:72693" >Content-Length: 561 > > 28-02-04 >A oatient has come to our hospital . Tubal ligation was done for her on 01-10-03.She had reguar menses after that.She had her last menses on 16-01-04.She came to us with ammenorhea 5.4 weeks.Urine pregnancy test was positive.Ultrasound showed no intrauterine pregnancy, a 2 cm by 2 cm cystic lesion was seen in the right ovary.B-HCG value is 1518.What would be the most appropriate course of management for her. > >Anuradha. > >--0-1039184011-1078121187=:78169-- Once you have confirmed its ectopic, then use any treatment option you feel comfortable with. Do not use methotrexate if patient follow-up is a concern, remarkably the WHO and Cochrane database reviews show surgical treatment preferable laparoscopic(if possible) is more cost effective than methotrexate. -- Take care, John Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: IBM Settles Birth Defects Suit" Previous message: Garry E. Siegel, M.D.: "Re: suspected macrosomia outcome ?" In reply to: anuradha akolekar: "Fwd: management of ? ectopic" Next in thread: Joanne Bulley, MD: "Re: management of ? ectopic" Reply: Joanne Bulley, MD: "Re: management of ? ectopic"

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