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Re: Indeterminate HCG x 3 case From: art fougner, md (evsono@pipeline.com) Wed Mar 16 09:53:30 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Ultrasound as part of the normal exam" Previous message: alejandro.morales@cecla.com: "Re: Methotrexate" Jay aside from checking urinary HCG, you may wish to send blood for HPL. placental site trophoblastic tumor typically presents with low level BHCG with high titers of HPL. admittedly a zebra, but one never knows ... art At Tue, 15 Mar 2005, Jay Kulkin wrote: > >25yo lady Po with irreg vaginal bleeding presents for evaluation. Exam wnl, no hx of std's. BHCG (quantitative) is indeterminate x 3 over a 2 week span. Had just come off bcp's 6 weeks earlier and has had unprotected si. Considerations were incomplete ab, placental polyp and chronic ectopic. Work-up in prgress including pelvic ultrasound. Any other thoughts? > >Jay > >-- >Jay M. Kulkin, MD MBA FACOG >Women's Institute For Health PC >975 Johnson Ferry Road >Suite 460 >Atlanta, Georgia 30342 >Ph: 404.832.0300 >Fax: 404-832-0070 >http://www.wifh.com > >>> ----- Original Message ----- > From: RModugno@aol.com > To: Multiple recipients of list OB-GYN-L > Sent: Monday, March 14, 2005 9:00 AM > Subject: Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more... > > In a message dated 3/14/05 6:24:14 AM Eastern Standard Time, rd.braun@gmail.com writes: > The Medical Protection Society (UK based but operating world wide) have > > very nice quarterly booklet. They advise that a practice must be in > > place to find post TAH hydronephrosis, and suggest a postop Ultrasound. > > > > I do the upper abdomen before EVRYZ hysterectomy and keep pictures of > > the kindeys, to compare them with the pix I take after the hysterectomy. > > > > el > > > > When is the ultrasound perfomed post-op? > > Robert Modugno MD MBA FACOG > Marietta, Ga > http://www.novaobgyn.yourmd.com > -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: art fougner, md: "Re: Ultrasound as part of the normal exam" Previous message: alejandro.morales@cecla.com: "Re: Methotrexate"

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