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Re: (4th ectopic/US) From: DuBoseTerryJ@uams.edu Fri Oct 3 22:41:50 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DuBoseTerryJ@uams.edu: "Re: Men [and women] of Steel ( was scalp pH)" Previous message: Garry E. Siegel, M.D.: "Re: Men [and women] of Steel ( was scalp pH)" In reply to: Mats Bergstrom: "Re: (4th ectopic/US)" At Fri, 3 Oct 1997, Mats Bergstrom wrote: SNIP >>abdominal pregnancies which were missed on endovaginal sonograms, but I >>found the 8 week embryo (measured crown-rump length, BPD, and heart > >OK, now I see what you mean. I think the term "abdominal pregnancy" >formerly has been reserved for late viable "ectopic babies" but the >medical language is evolving and that's fine with me (except that I >dislike the current widespread - at least here - use of "missed abortion" >for every miscarriage where one happens to look with US a few hours >before the patient aborts; in classic terminology this is a second >trimester diagnosis only). > Agreed. "missed abortion" and "blighted ovum" are used to the point of meaninglessness. >But in the present case the arrest in Hcg rise around the 3000 level >suggests that there is no fetus to see, the ovum by now probably >consisting only of a tiny piece of placenta. And the odds that >the reason for not seeing it with vaginal US is the limitations >of the method per se, and not that the piece of placenta is far >removed from the uterus, is in the range of 100:1. >Mats Bergstrom, MD >Ob Gyn >South Hospital >Stockholm > Did the hCG plateau? Guess I may have missed that. The odds of distant implantation are greater than 100:1, I think.... but, I could happen. In the tube alone is about 97.5%. I appoligize about the meaningless Subject: line. That is the main problem with digests. -- Peace, Terry J. DuBose, M.S., RDMS Diagnostic Medical Sonography Program Director, Assistant Professor University of Arkansas for Medical Sciences Little Rock, Arkansas, USA http:\\www.io.com\~dubose 501-686-6510 Next message: DuBoseTerryJ@uams.edu: "Re: Men [and women] of Steel ( was scalp pH)" Previous message: Garry E. Siegel, M.D.: "Re: Men [and women] of Steel ( was scalp pH)" In reply to: Mats Bergstrom: "Re: (4th ectopic/US)"

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