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Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONSFrom: Brickster0@aol.comMon Dec 22 10:55:22 2003
In a message dated 12/22/2003 12:46:29 PM Eastern Standard Time, cchamber@gorge.net writes: Given that the patient was asymptomatic, I think that either approach is reasonable depending on the reliability of this patient. What's more interesting is how only 24 hours later, you see a sac. How big was the gestational sac? Without any symptoms, I don't think I would have had the patient come in the very next day, unlikely to see a change in the ultrasound, and the beta won't be helpful. Therefore, I think the change in the ultrasound in just 24 hours is more of an issue. I'm not suprised to see sac. This is when you are suppose to see one; ie at 5 weeks with a quant > 1500. I agree seeing the pt 48hrs may be appropiate, but not 4 days later. Brick
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