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Re: interesting case From: Dr Eberhard Lisse (el@lisse.NA) Thu Aug 10 12:33:04 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "'Nuther one" Previous message: Terry J DuBose: "Re: OB: Ultrasound stories yet again" In reply to: art fougner, md: "Re: interesting case" Next in thread: Dr Eberhard Lisse: "Re: interesting case" Reply: Dr Eberhard Lisse: "Re: interesting case" I was leaning towards GTD as well. I'll have the b-HCG repeated tomorrow and am booking her for a formal Ultrasond tomorrow. el on 8/10/06 1:26 PM art fougner, md said the following: > With an HCG level of >30,000 ( confirmed), i would expect to see a fetal > heartbeat. From the data presented, this patient has gestational > trophoblastic disease until proven otherwise. Would repeat the > ultrasound as well and if inconclusive, curettage and if HCG essentially > unchanged, then as Joe P suggested along with Chest film, with intention > to treat with Chemotherapy as per your local regimen. > > Just my opinion, I could be wrong. > > Art > > At Wed, 9 Aug 2006, DoctorJoe@aol.com wrote: >> In a message dated 8/9/06 5:30:45 PM, el@lisse.NA writes: >> >>> b-HCG comes back 78800 (!), Hb 14.8, U&E, LFT all normal. >>> >>> I have asked her to come back on Friday for another b-HCG and will see >>> her on Monday, but I have her cell phone number in case of a recall. >>> >>> Any clever ideas anyone? Other than a hysterectomy :-)-O >>> >> MRI of the abdomen/pelvis? She could have (and unusual but possible) >> metastatic chorio even with no pregnancy left. >> >> Joe P. > > -- > art fougner, md > "May The Wings of Liberty Never Lose a Feather." - Jack Burton -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please send DNS/NA-NiC related e-mail Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na Next message: Dr Eberhard Lisse: "'Nuther one" Previous message: Terry J DuBose: "Re: OB: Ultrasound stories yet again" In reply to: art fougner, md: "Re: interesting case" Next in thread: Dr Eberhard Lisse: "Re: interesting case" Reply: Dr Eberhard Lisse: "Re: interesting case"

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