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Re: OB: Ectopics? From: Efrain Ramirez MD (eramirez@icepr.com) Sat May 29 06:59:09 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez MD: "Re: Strunskys sign" Previous message: Efrain Ramirez MD: "Re: short femurs" In reply to: Garry E. Siegel, M.D.: "OB: Ectopics?" 1) With hCG on 2161 you should see a gestational sac...curettage...good candidate for methotrexate..good luck. 2) repeat hCG and TV Ultrasound...tell us later...fun week.. At Thu, 27 May 1999, 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. 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. > -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: Efrain Ramirez MD: "Re: Strunskys sign" Previous message: Efrain Ramirez MD: "Re: short femurs" In reply to: Garry E. Siegel, M.D.: "OB: Ectopics?"

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