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GYN: Mouse antibodies/HCGFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Tue Jul 27 17:05:09 2004
I have inherited a case to deal with while my partner is on vacation; details sketchy. 32 YO P0 with positive UCG 7/8 in office, 7/8 spotted, HCG 150 approx., progesterone 1.7. Had "menses" for a few days, and now is not bleeding, asymptomatic, and still is running HCGs around 144 to 150 (all in the same lab). While I don't know this for sure, I have no doubt that she has been examined and it was benign. Ultrasound 7/23--empty uterus, normal adnexa, trace free fluid. Is this a case where mouse antibodies might help? Use a different lab (waiting to talk to the lab supervisor in one hospital about this)? Could this be a chronic ectopic? Should I empty her uterus and go from there? The lab tech today (after 5 PM)at the hospital immediately suggested doing a urine pregnancy test, and that is planned tomorrow. However, I didn't realize that she had been positive in the UCG on 7/8. Any thoughts? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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