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Re: Tubal Pregnancy--management**Pathology** From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Jan 23 15:56:00 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Gen: Diastasis Rectii" Previous message: Garry E. Siegel, M.D.: "Re: Gen:  What would you do" In reply to: Garry E. Siegel, M.D.: "Tubal Pregnancy--management" Next in thread: Efrain Ramirez: "Re: Tubal Pregnancy--management**Pathology**" Reply: Efrain Ramirez: "Re: Tubal Pregnancy--management**Pathology**" Pathology: Curettings--decidua Tube--tubal pregnancy, unruptured Garry Here's the original post: At Sat, 19 Jan 2008, Garry E. Siegel, M.D. wrote: > >20 YO P0, seen in ER and office as follows: > >1/13--acute abdominal pain requiring narcotics, got better. Exam per ER >MD negative, HCG 1300, Hemoglobin 15, ultrasound empty uterus and 3 cm. >cyst left side. > >1/15--asymptomatic except spotting, HCG 1900, Hemoglobin 15, negative >exam by me. Ultrasound no change. > >1/18--HCG now 2800 from 1/17, progesterone 5.4 from 1/17, exam and >ultrasound unchanged. > >Would you have made a dispostion on 1//15? > >If so, what? > >If not, now it is 1/18 and I made a dispostion. > >Would you: > >1. D and C, frozen section, and scope if negative? >2. D and C, await pathology, give methotrexate? >3. Give methotrexate primarily? > >More to discuss once replies come in. . . > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Gen: Diastasis Rectii" Previous message: Garry E. Siegel, M.D.: "Re: Gen:  What would you do" In reply to: Garry E. Siegel, M.D.: "Tubal Pregnancy--management" Next in thread: Efrain Ramirez: "Re: Tubal Pregnancy--management**Pathology**" Reply: Efrain Ramirez: "Re: Tubal Pregnancy--management**Pathology**"

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