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persistent HCGFrom: Geffrey Klein (GK6972@americanmed.com)Fri Aug 29 11:46:37 1997
Here is a strange case that I need help with... 25 y/o G1 LMP 6/13 presented to EC 8/10 with bleeding per vagina and cramps. U/S was neg, HCG was 14, os was closed, and exam was unremarkable. Diagnosis was complete AB. No tissue available for permanent section. Pt sent home. 8/13 HCG 11 8/16 HCG 13 8/20 HCG 24 Progesterone 0.4 8/22 HCG 47 Chemistries and CBC were normal On 8/20 patient was not bleeding and she was hemodynamically stable. Mild RLQ discomfort. Exam unremarkable. 8/22 Patient received 75 mg methotrexate IM for a presumed ectopic pregnancy (She is 2 squared meters, but I was fairly certain 75 mg would be enough considering the low level of HCG) 8/28 HCG 38 Chemistries and CBC were normal She is hemodynamically stable and has no complaints today.. Pain has resolved. I gave her 100 mg mtx today.. any suggestions if that doesn't work? Geffrey H. Klein, MD Department of Obstetrics and Gynecology MacGregor Medical Association Clear Lake OB Office 2200 Nasa Road One Suite 200 Houston, Texas 77058 713 741 2273 x2628
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