R: OB: Ectopics?

From: Roberto Pasqualetti (robipas@freesurf.ch)
Fri May 28 07:02:31 1999


-----Messaggio originale----- Da: Bernard Cristalli <bcrist@club-internet.fr> A: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> Data: venerd́ 28 maggio 1999 8.13 Oggetto: Re: OB: Ectopics?

>
>Garry E. Siegel, M.D. wrote:
>
>> 35 YO P0010 presents to the ER with unknown LMP, no contra, history of
>> infertility with current husband, and RLQ pain. ...
>>
>> Anyway, benign exam, HCG 2161, empty uterus on vaginal scan, and a
>> questionable right sided cyst. ...
>
>--
>
>looks like an ectopic => scope her
>

agree >
>> Second case:
>>
>> 28 YO P2022, LMP 4/12/99 at the end of a pill pack, now attempting
pregnancy. >>
>> ...
>>
>> 5/20--HCG 275, progesterone 17 or so
>> 5/24--HCG 825, progesterone 16 (repeated progesterone by error)
>> 5/26--HCG 1072, examine benign.
>>
>> --
>
> Normal evolution : do a sonography now, it may be a normal intra uterine
>pregnancy
>
>--agree, but if you find an empty uterus do not assume now that she has an
ectopic,(even if the chance is big enough). Eventually do a new TVS in 48 hours along with HCG.

>





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