Re: Failed tubal ligations

From: art fougner, md (evsono@pipeline.com)
Mon Feb 12 07:28:01 2007


Dan

my fave was "live ectopic" on sono when at surgery a dermoid was found. I asked the radiologist whether the fh could have been chattering teeth?

All kidding aside, while interpretation can be in the eye of the beholder, if you're not satisfied, get another beholder!

Art

At Sun, 11 Feb 2007, R. Daniel Braun wrote: >
>But will still get you in trouble occasionally. Nothing beats clinically
>following the patient. US's in this situation will lead you down the
>primrose path. I have personally had patients where US said Left ectopic and
>that patient had a rt ectopic AND an IUP. Have had US say ectopic with
>cardiac activity when IUP was present. Also have had US say IUP and an
>ectopic was present. US is someones intrpretation of a shadow.
>
>Dan
>
>On 2/11/07, Kris Bagiu, CPM, RM <kris@metromidwifery.com> wrote:
>>
>> Andrew Folley wrote:
>> > 50/50 chance following tubal ligation that + pregnancy test will be
>> > ectopic. Check TVUS when HCG is above 1500 to 2000 if not gestational
>> > sac assume ectopic OR if titers rising slowly do endometrial sampling
>> > looking for chorionic villi suggesting a nonviable intrauterine
>> gestation.
>>
>> Got it. Thank you, that answer wraps up everything nicely.
>>
>> Kris
>>
>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage everyday".
> Hippocrates
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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