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Re: SAB and quant From: art fougner, md (evsono@pipeline.com) Tue Mar 6 19:54:20 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: SAB and quant" Previous message: art fougner, md: "Re: c/s rate and midwives" 3 possibilities besides lab variance - small fragments of retained but resolving POC. statistical outlier - some patients don't read the book. early trophoblastic disease - unlikely. following beta's seems a reasonable course of action. art At Tue, 6 Mar 2001, Deborah J. Wage wrote: > >Have a G1 P0 who was seen to have a blighted ovum at a dating ultrasound at >about 10 1/2 weeks ega. After counseling her re: options she decided to >await spontaneous expulsion which she did about 2 weeks later. An >ultrasound 1 week later showed no products of conception. Quantitative HCGs >have been followed. Her last quant at 7 weeks out was 33 (67 1 week before >that). Feels fine, exam normal, menses last week. She wants to try again >right away but I have asked them to wait until we have a 0 quantitative. > >I know that it can vary woman to woman and case to case but this has been >the longest I have seen it take...even though it is coming down gradually. >I am not worried but do think this is peculiar and can't explain it. >Comments? > >Deborah Wage, MSN,FNP,CNM -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Larry Glazerman: "Re: SAB and quant" Previous message: art fougner, md: "Re: c/s rate and midwives"

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