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Sagot :
Repeat b-hCG in 48 hours
The treatment procedure:
Before considering a treatment strategy for the patient, a correct diagnosis is required. She possesses ectopic pregnancy risk factors. The following stage in this patient's therapy is to repeat the Beta-hCG. The diagnosis of ectopic pregnancy would be compatible with abnormally high Beta-hCG levels (less than 50% increase in 48 hours) or levels that either do not decline after diagnostic dilatation and curettage. As an alternative, an ultrasound must show a fetal pole outside the uterus. With an empty uterus, the patient would require a Beta-hCG level above the discriminatory zone, which is the level at which an intrauterine pregnancy may be observed on ultrasound. The standard concentration is 2000 mIU/ml. Methotrexate treatment can be necessary, but only once a certain diagnosis has been made.
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