Re: Failed tubal ligations

From: art fougner, md (evsono@pipeline.com)
Fri Feb 9 06:34:31 2007


Are you certain this patient has an ectopic?

Art

At Fri, 9 Feb 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote: >
>I have a gal that I did a c-section tubal on 8 months ago (with path
>specimens showing tubal segments) that now has a positive home pregnancy
>test.
>
>Repeat quants have been 191, 282, and 390 at 48 hr intervals. Pt is
>without symptoms.
>
>My presumption is that this is an ectopic based on the history and the
>abnormally rising quants.
>
>My plan would be to give her methotrexate now to treat the ectopic.
>
>When you any of you consider doing l/s to repeat the tubal? Now? 6
>weeks?
>
>Thanks,
>
>Glen
>
>//SIGNED//
>
>D. Glen Elrod, Maj., USAF, MC
>
>Obstetrician/Gynecologist
>
>Chief of Obstetrics
>
>48 MDOS/SGOBO
>
>RAF Lakenheath, England
>
>Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
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--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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