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Re: Ectopics?From: Braun, R. Daniel (rbraun@iupui.edu)Fri May 28 06:42:58 1999
Case 1 Menstrual Aspiration If villi present, problem solved. If no villi, then either scope or Methotrexate. Case 2 Repeat HCG Never act on basis of a single HCG not rising. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 International Representative for United States OBGYN.net -----Original Message----- From: garrys@mindspring.com [SMTP:garrys@mindspring.com] Sent: Thursday, May 27, 1999 8:15 PM To: Multiple recipients of list OB-GYN-L Subject: OB: Ectopics? 35 YO P0010 presents to the ER with unknown LMP, no contra, history of infertility with current husband, and RLQ pain. By her history, negative scope for infertility a couple of years ago (she later told me, "Oh, yeah, they found endometriosis." I guess when I asked her, "Was there any endometriosis?," I wasn't specific enough). Anyway, benign exam, HCG 2161, empty uterus on vaginal scan, and a questionable right sided cyst. BTW, she is pregnant from a different partner, and the husband doesn't know. She does not wish to be pregnant at this time. What would you do? Details later. . . Second case: 28 YO P2022, LMP 4/12/99 at the end of a pill pack, now attempting pregnancy. 1st pregnancy--missed Ab, D and C. 2nd--left tubal pregnancy, diagnosed by HCGs/scan when being followed because of the prior loss. Lapscope salpingostomy. 3rd/4th--term vaginal deliveries 5/20--HCG 275, progesterone 17 or so 5/24--HCG 825, progesterone 16 (repeated progesterone by error) 5/26--HCG 1072, examine benign. What would you do? Details later. . . Garry -- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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