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Re: PREGNANCY vaginal and regular ultra soundFrom: James S Smeltzer MD (gaperina@mindspring.com)Mon Nov 6 20:50:26 2000
Hello, Perhaps there is some confusion over language. Do you mean menstrual age or conception age? One author found that he could see a pregnancy this early, but I found in his data that he was wrong about the pregnancy number or location 40% of the time, and made the point that this did not constitute what I would call diagnostic accuracy. The problem does not apply to the case in hand, which was over 6 weeks. It is helpful in these cases for multiple data to agree. I operated on a patient yesterday and performed a laparoscopic salpingectomy (3 prior ectopics treated) for what may be an ectopic but still not proven to be so, when it was 5 weeks without a uterine pregnancy visible, but with an adnexal mass which was clot in the tube. The QHCG was 2600 as well. Sonography can be helpful in many ways for the diagnosis of ectopic pregnancy. It is seldom as helpful as in my first "solo" sonogram in 1978. We had just uncrated our new Toshiba (no freeze frame - try doing caliper measurements on the fly some day) A woman presented with history of PID, pelvic pain and a positive pregnancy test. The sonogram showed the uterus with decidua and no sac, bilateral hydrosalpinges and a fetus with flicker in one. When I showed this to my department chairman, he agreed that it might have been money well spent. We need to differentiate clearly between what we know and what we suspect. (Re "missing" twins and ectopic pregnancy and intrauterine pregnancy with early sonogram: TITLE: Early detection of intrauterine pregnancy with ultrasound. AUTHORS: Smeltzer JS SOURCE: J Ultrasound Med. 1988 Dec;7(12):695-6. No abstract available. CIT. IDS: PMID: 3070061 UI: 89178831
At 05:32 PM 11/2/2000 -0600, you wrote:
>le 1/11/00 9:56, Susan Brennan a tapoté :
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