Unit 7 SIGs Cases 7-12

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Discuss human chorionic gonadotropin levels in normal and abnormal pregnancies. (SIGS Case 7.4b)

Normal: levels double every 48 hours; Abnormal: falling= failed IUP or ectopic; drop >21% = failed IUP; drop < 21% = ectopic pregnancy

Relate human chorionic gonadotropin levels to ultrasound findings for normal pregnancies. (SIGS Case 7.4b)

Pregnancy will generally be visible on ultrasound if beta-hCG is greater than 1500-2000

Contrast the diagnostic work-up and management for a hemodynamically stable vs. unstable patient with ectopic pregnancy. (SIGS Case 7.4b)

stable: laparoscopic surgery OR methotrexate ; unstable: immediate laparotomy and treatment for hemorrhagic shock

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