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Re: humbled by an ectopic From: art fougner, md (evsono@pipeline.com) Tue Feb 20 10:57:55 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: humbled by an ectopic" Previous message: art fougner, md: "Re: opinions/management suggestions" there is no lab test with a predictive value of 100% - that is you still need to utilize clinical jusdgement - somewhat akin to ben kenobi's admonition - "trust your instincts." with regard to sonar - it is the absence of an intrauterine pregnacy which is still THE significant finding which should point the way to the diagnosis. art At Mon, 19 Feb 2001, Daniel Flaherty wrote: > >Hi, >Anyone had an ectopic with an HCG titer of 23,000, missed on not one but two ultrasound scans? My patient tonight had IUI on Clomid back on 15 December. >Vag probe US in January missed the ectopic, as did another one two weeks ago when her titer was 23K. Oh yeah, she had a normal 22ng/ml Progesterone level. > >You just can't trust lab and Xray anymore. > >Dan Flaherty MD >Watertown SD -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: humbled by an ectopic" Previous message: art fougner, md: "Re: opinions/management suggestions"

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