10-14-2006, 01:00 PM
32yr old female presents with p/v bleeding, beta hcg is +ve
whts next step in Mx
whts next step in Mx
|
obs - airmax
|
10-14-2006, 01:13 PM
yap... if on usg u confirm one of the followin thn wht will u do for each..
1)IUP 2)Mole 3)Ectopic 4)No IUP , Mole , Ectopic
10-14-2006, 01:20 PM
IUP ------> confirmatn of fetus in uterus/fetus viability by Heart rate mvts so on/cervical os effacemnt n dilatation/------->so far is just normal study now through search for bleeding pv---placental position PP or abrubtion?, PROM causes---????????
10-14-2006, 01:22 PM
yap for IUP and viable fetus thn see if bleeding stops on its own then conservative , bed rest.
10-14-2006, 01:32 PM
3)ectopic ----> laprotomy?
4) Fibroids? anovulatory bleeding?/PAP smear
10-14-2006, 01:36 PM
for 3) both scopy nd tomy are gud... but imp is u try to conserve the tubes
4) we do quantitative beta hcg first.....
10-14-2006, 01:45 PM
quantitstive b hcg for 4 or 3? n whats ans for 4?
10-14-2006, 01:45 PM
quantitstive b hcg for 4 or 2? n whats ans for 4?
10-14-2006, 01:48 PM
for 4
3 is fine wht u said, i only added tht u need to conserve the tubes so try -stomy first else do -ectomy |
| « Next Oldest | Next Newest » |