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Re: ULTRASOUND digest 31From: JT or JL Tomko (buddy@redrose.net)Fri Dec 19 19:10:15 1997
Mark, Not sure I understand your post but thanks for the dearheart. 7-8 k? Not sure if you mean 7000 IU BHCG or 7-8 week. I use the level amounts when the image and history doesn't fit. I would not have called yours an ectopic without a follow up if patient was asymptomatic especially not seeing cardiac before at least a 10,000 IU level. Could you clarify as I am always interested in those that just don't fit the program. I will also always watch how the levels rise....if you had twins was a follow-up Beta done to see the levels go way up?? BTW slam away, just don't mess my hair k? ;)...keeps me humble. Did your patient also have hyperemesis or anything to suggest reaction to the rising levels? This is the downside of internet diagnosing...sometimes I just don't have the 'what-ifs' all in a row. Have a happy holiday. (if you haven't gotton my gift yet... a 14k watch will suffice *grin*) Janet > > buddy@redrose.net writes: >>With an HCG of 62,000 not only should an embryo be visualized but >>heart motion should also be observed. .... levels of 10,000 IU should >see heart motion... > >Dearheart Janet.... >I got two cases 7-8k levels and no heartbeat.... negative adnexa, small >fundal fluid collections ??dicidual ring........so now what.... Lab says >... U/S should see the cardiac activity, if not they must be off... we >say we just calls them as we sees them, thank you for the slam, you must >be all knowing and right.....(not my words exactly:-)).... rising levels >no cardiac activity....must be ectopic.... not exactly > > In these two cases twin IUP's were discovered subsequently.... We >fought hard the methyltrexate route and won.... Some kids will never >know how close they were ;-) My belief was that the twins register >higher levels earlier.... anyone got a spin on this???? > >Mark Lawson -- Texas > >------------------------------ > >------------------------------ >End of ULTRASOUND Digest 31 >------------------------------ >*************************** > >
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