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 Case #20.
To Scan or Not to Scan — That is the
Question!A 33 y/o female presents
with dysuria. She noted some spotting
yesterday, and her menses is one week late.
She denies any pain, passing of tissue,
cramping, or dizziness. She has been
nauseous, but no vomiting. She has been
pregnant twice, one delivery without
complications vaginally, and one abortion.
PE: BP:115/70 P: 80 RR:16 Afebrile
HEENT: NL
Heart/Lungs NL
Abd: soft, nontender, normal.
Pelvic: no bleeding now, no cervical motion
tenderness, no pain.
Urine: SG 1.015 WBC: 15 RBC: 2 Leukocyte
esterase+ UCG +
1.What is the likelihood this patient could
have an ectopic without any pain?
2. How does bleeding correlate with
likelihood of ectopic? Does spotting
increase or decrease the risk she is having
an ectopic, compared to heavier bleeding?
3. How does the quantitative HCG factor into
the risk of ectopic? Is a higher
quantitative HCG more or less likely to
point to ectopic?
Click here for answers and to respond
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Previous Articles
Pediatric (03/03/08)
Cardiovascular (02/26/08)
Gastrointestinal (02/19/08)
Pediatric (02/11/08)
Trauma (02/06/08)
Pulmonary (01/29/08)
Pediatric (01/22/08)
Neurologic (01/014/08)
Cardiovascular (01/07/08)
Cardiovascular (01/01/08)
Renal (12/26/07)
Cardiovascular (12/19/07)
Pediatric (12/12/07)
Neurologic (12/05/07)
Trauma (11/27/07)
Trauma (11/20/07)
Neurologic (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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