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Re: Abnormal Pregnancies (HCGs/Progesterones) From: Garry E. Siegel, M.D. (garrys@mindspring.com) Sun Oct 12 18:44:56 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: kathleen [tash] robb bodor: "Re: Shabbos joke" Previous message: jay kulkin: "Re: ASCUS paps" In reply to: R.Daniel Braun, MD FACOG: "Re: Abnormal Pregnancies (HCGs/Progesterones)" Next in thread: Bernard Cristalli: "Re: Abnormal Pregnancies (HCGs/Progesterones)" her HCG is initially 144, then 2 >>days late is 150 or so, with an initial Progesterone of less than 5. >>Over the weekend, she is spotting a bit, clinically normal, with normal >>exam. The next HCG a couple of days later was around 250. >> >Let me see if I got this straight. The 1st HCG was 144, then 2 days >later 150, then 2days later 380. Is that right? If so how are you so >sure this was na abnormal pregnancy?? It seems to me that if you throw >out the first value, it looks pretty normal to me. I would strongly >consider the lab goofed on the first value. That has happened many >times. Also possible they got the sample mixed up. Happens very >frequently. This is why I make the residents have a repeat HCG before >giving MTX. Dan: See the above, and pardon me if I don't have the exact dates, as this was from memory. She went from about 150 to 150 in 2 days, and then in 3 days to 250; thus, combined with a low progesterone, it clearly was an abnormal HCG rise, and I believe that the diagnosis was correct. I agree with you that if in doubt, observation is called for. Garry -- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga. Next message: kathleen [tash] robb bodor: "Re: Shabbos joke" Previous message: jay kulkin: "Re: ASCUS paps" In reply to: R.Daniel Braun, MD FACOG: "Re: Abnormal Pregnancies (HCGs/Progesterones)" Next in thread: Bernard Cristalli: "Re: Abnormal Pregnancies (HCGs/Progesterones)"

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