Ectopic Pregnancy Flashcards

1
Q

At what hCG level can an intrauterine pregnancy be seen?

A

2000

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2
Q

What do you do in a stable patient with suspected ectopic pregnancy with a hCG level of 1000?

A

Repeat hCG in 48 hours. If hCG is >2000 and no IUP is visible, treat with methotrexate.

If unstable–> Surgery

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3
Q

How much should hCG rise in 48 hours?

A

more than 50%. hCG should double every 2-3 days.

If hCG inc is inapproprirate, suspect ectopic pregnancy.

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4
Q

What is the biggest risk factor for ectopic pregnancy?

A

Prior ectopic pregnancy

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5
Q

What level of progesterone suggests normal pregnancy?

A

> 25

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6
Q

How do you treat a non viable IUP?

A

Expectant management and/or Mifepristone

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7
Q

What are the indications for methotrexate in ectopic pregnancy?

A
Hemodynamic stability
Non-ruptured pregnancy
<4cm w/o heart rate
<3.5cm w/heart rate
Normal labs
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