UW suspectec ectopic algorithm 02-18 (1)

Question 1

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD unstable ->?

Answer 1

Immediate surgical consultation

Question 2

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD stable ->?

Answer 2

TVUS

Question 3

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD stable ->TVUS –> 3 options can be identified

Answer 3

adnexal mass
intrauterine pregnancy
nondiagnostic

Question 4

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD stable ->TVUS –>adnexal mass ->?

Answer 4

Treat ectopic pregnancy

Question 5

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD stable ->TVUS –>intrauterine pregnancy ->?

Answer 5

nieko, tiesiog yra normalus intrauterine pregnancy

Question 6

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD stable ->TVUS –>nondiagnostic –>?

Answer 6

serum beta-hCG level

Question 7

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD stable ->TVUS –>nondiagnostic –>serum beta-hCG level –> If <hCG 3500 –>?

Answer 7

repeat beta-hCG level in 2 days

Question 8

Positive urine hCG, lower abdominal pain and/or vaginal bleeding. –> HD stable ->TVUS –>nondiagnostic –>serum beta-hCG level –> If >= hCG 3500 –>

Answer 8

repeat hCG level + TVUS in 2 days