Interactive Session - Early Pregnancy Monitoring—Pregnancy of Unknown Location vs. Ectopic Pregnancy vs. Intrauterine Pregnancy
Time:1:15 pm - 2:15 pm
Location:HCC311 - Hawaii Convention Center
Todd D. Deutch, M.D. (Chair), Advanced Reproductive Center
Laura Detti, M.D., University of Tennessee Memphis
Elizabeth E. Puscheck, M.D., M.S., Wayne State University School Of Medicine
Ilan Tur-Kaspa, M.D., Institute for Human Reproduction (IHR)
(Case Presentations with Audience Response)
Needs Assessment and Description
Differentiating normal pregnancy from abnormal pregnancy can be a diagnostic dilemma. This interactive session will review current techniques and criteria for diagnosing and treating pregnancy of unknown location vs. ectopic pregnancy vs. normal intrauterine pregnancy. The target audience is physicians, sonographers, and nurses involved in early pregnancy monitoring.
At the conclusion of this session, participants should be able to:
- Identify criteria to differentiate between normal and abnormal pregnancy.
- Describe treatment strategies for pregnancy of unknown location and ectopic pregnancy.
A woman presents with spotting for 1 day, unsure dates, and a beta-human chorionic gonadotropin (b-hCG) level of 1,750 mIU/mL. She is asymptomatic, and transvaginal ultrasound shows a thickened endometrium, no gestational sac, and no adnexal masses. After participating in this session, in my practice I will do the following:
a. Call my partner, I am in Hawaii!
b. Perform a laparoscopy.
c. Perform a dilation and curettage.
d. Administer methotrexate.
e. If she becomes symptomatic, reevaluate her as soon as possible; otherwise, reevaluate her in several days.
f. Not applicable to my area of practice