Interactive Session - Early Pregnancy Monitoring—Pregnancy of Unknown Location vs. Ectopic Pregnancy vs. Intrauterine Pregnancy

Date:October 22, 2014

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. 

Learning Objectives
At the conclusion of this session, participants should be able to:

  1. Identify criteria to differentiate between normal and abnormal pregnancy. 
  2. Describe treatment strategies for pregnancy of unknown location and ectopic pregnancy.
ACGME Competency
Patient Care 

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


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