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Ob: Threatened AbFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Jun 27 20:00:52 2007
34 YO P2022 referred from the ER from a 6/26 PM visit, seen PM 6/27 in the office. She is new and has I've never seen her before. History (no records): Ob #1--1st trimester spont Ab, 10-ish weeks, thinks a sac was seen Ob #2--late first trimester missed Ab, D and C planned but incomplete Ab occurred overnight requiring D and C Term SVD X 2, 1995 and 2002 Presented with a few days of spotting, unsure LMP early May, a few cramps in the lower midline across the whole abdomen. HCG 3680, Hct. 33, Ultrasound--empty uterus, trace free fluid, adnexa normal. Today's exam: NAD Abdomen--obese, NT, no mass Pelvis--small amount of spotting (brown), uterus 8 weeks, anterior, NT. Adnexa NT. What is your diagnosis, if any? What is your plan? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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