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Re: Ob: Threatened Ab From: Efrain Ramirez (eramirezt@coqui.net) Wed Jun 27 22:10:53 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Ob: Threatened Ab" Previous message: DoctorJoe@aol.com: "Re: casual research question" In reply to: Garry E. Siegel, M.D.: "Ob: Threatened Ab" Next in thread: RModugno@aol.com: "Re: Ob: Threatened Ab" Repeat hCG in 48 hours - may have an incomplete abortion..as always counsel her about the possibilty of an ectopic pregnancy, etc., etc., Good luck. Ef >At Wed, 27 Jun 2007, Garry E. Siegel, M.D. wrote: > >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 > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Efrain Ramirez: "Re: Ob: Threatened Ab" Previous message: DoctorJoe@aol.com: "Re: casual research question" In reply to: Garry E. Siegel, M.D.: "Ob: Threatened Ab" Next in thread: RModugno@aol.com: "Re: Ob: Threatened Ab"

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