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Re: interesting case From: Efrain Ramirez (eramirezt@coqui.net) Thu Aug 10 18:24:14 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: 'Nuther one" Previous message: Henry Gregor: "Re: Ob: prior lumbar discectomy" In reply to: R. Daniel Braun: "Re: interesting case" Next in thread: Gail Graham: "Soft tissue sarcoma help needed" Agree - labs are labs - must confirm - I had one case reported with one zero too much... Ef >At Thu, 10 Aug 2006, R. Daniel Braun wrote: > >I think Art is correct. > >Dan > >On 8/10/06, art fougner, md <evsono@pipeline.com> wrote: >> >> 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 >> >-- >R. Daniel Braun > > "The way to health is an aromatic bath and scented massage everyday". > Hippocrates > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Efrain Ramirez: "Re: 'Nuther one" Previous message: Henry Gregor: "Re: Ob: prior lumbar discectomy" In reply to: R. Daniel Braun: "Re: interesting case" Next in thread: Gail Graham: "Soft tissue sarcoma help needed"

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