-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: persistent HCG From: John Sobeck (babydoc@pacifier.com) Fri Aug 29 17:20:10 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. A. Hensenne: "Re: Delivery mode in a patient with a previous rectovaginal" Previous message: John Sobeck: "cs after fistula" In reply to: Geffrey Klein: "persistent HCG" Next in thread: Dr. A. Hensenne: "Re: persistent HCG" On Fri, 29 Aug 1997, Geffrey Klein wrote: > 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? She needs a sampling. This is similar to a case I had of Placental site tumor. I think 1/4 of GTD or in this case Placental site tumors are after 1st tri pregnancies NOT recognized as molar -- John Sobeck, MD, FACOG Vancouver, WA Next message: Dr. A. Hensenne: "Re: Delivery mode in a patient with a previous rectovaginal" Previous message: John Sobeck: "cs after fistula" In reply to: Geffrey Klein: "persistent HCG" Next in thread: Dr. A. Hensenne: "Re: persistent HCG"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:23:16 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.