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Re: persistent HCG From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Wed Nov 15 01:30:26 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: ACOG statement" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: persistent HCG" In reply to: Rafael Haciski: "Re: persistent HCG" But presumably you have easy access to an ultrasound, so even if you didn't see a sac or an adnexal mass, you could still use ultrasound as an extension of your pelvic exam (as I've heard others here say) Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rafael -- ________________________________ Haciski Sent: Wednesday, November 15, 2006 5:28 AM To: Multiple recipients of list OB-GYN-L Subject: Re: persistent HCG You really won't see anything at this low hCG level. Rafael Haciski MD FACOG Palmetto, FL On Nov 14, 2006, at 10:15 PM, Garry E. Siegel, M.D. wrote: That's the plan. I decided to scan first just to see if it might be illuminating. I'm a bit fearful that it may confuse things. Would anyone scan her first? Garry At Tue, 14 Nov 2006, Richard Kaplan wrote: I suspect persistence of viable trophoblast and would treat with Methotrexate. -- Richard Kaplan > ----- Original Message ----- From: "Garry E. Siegel, M.D." <garrys@mindspring.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Tuesday, November 14, 2006 7:21 PM 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 -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Efrain Ramirez: "Re: ACOG statement" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: persistent HCG" In reply to: Rafael Haciski: "Re: persistent HCG"

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