Ectopic Pregnancy Flashcards
1
Q
At what hCG level can an intrauterine pregnancy be seen?
A
2000
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
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.
4
Q
What is the biggest risk factor for ectopic pregnancy?
A
Prior ectopic pregnancy
5
Q
What level of progesterone suggests normal pregnancy?
A
> 25
6
Q
How do you treat a non viable IUP?
A
Expectant management and/or Mifepristone
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
