|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Abnormal Pregnancies (HCGs/Progesterones)From: R.Daniel Braun, MD FACOG (rbraun@netdirect.net)Sun Oct 12 13:59:04 1997
At Sun, 12 Oct 1997, DoctorJoe@aol.com wrote: > >In a message dated 10/12/97 11:34:23 AM, you wrote: > ><<I would have done a scan; an ectopic with a low beta can still hemorrhage. >If >negative, I would have followed her over another week until either the beta >dropped (even with an ectopic spontaneous resolution occurs up to 30% of the >time) or it reached the discriminatory zone for visualization of a sac. I >would have supplemented her with progesterone until it was clear that this >was not viable: (For an extreme example of viable pregnancy with completely >off-the-wall beta/prog levels, see the most recent F&S. ) You also have to >think about a twin pregnancy with one good and one bad gestation, which >throws the beta progression off. Obviously if the patient gets symptomatic, >act quickly.>> > >Sounds reasonable to me... > >Joe P. What are you going to see on this first scan that will change what you are going to do ??? If the answer and the only answer to that question is blood, then why not do a quicker and much less expensive procedure called culdecentesis?????
-- R.Daniel Braun, MD
|
|
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 05:24:51 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.