Re: persistent HCG

From: Robert Brenner (robbrenner@earthlink.net)
Sun Aug 31 19:06:14 1997


>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

I wouldn't have given her the second dose. It may take 7-10 days before you see a fall in the HCG titer.

--
Robert Brenner MD FACOG
Baltimore MD
Robbrennr@earthlink.net




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