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Re: persistent HCGFrom: ainsron (ainsron@sbcglobal.net)Tue Nov 14 19:29:38 2006
If it continues rising, you have to strongly consider GTD and give methotrexate. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, November 14, 2006 4:22 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: persistent HCG 34 YO P2002 ER 10/25 with acute abdominal pain, exam c/w acute abdomen, HCG 292, scan showing empty uterus and free fluid. Lapscope--400 ml blood, normal tubes/pelvis save a clot from the left tube in the fibriated end. My diagnosis was a tubal abortion, and nothing done other than evacuation. HCG two days later 113. Next week, 95, then 96 a couple of days later. Now, 2.5 weeks postop, it is 224. The exam yesterday (when blood was drawn) was normal. What's next? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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