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deeptiSend an Instant Message to deepti  




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Quick Scroll Obs & Gynae : ectopic pregnancy 09.27.04 (3 years ago) #1

Best investigatn to diagnose ectopic pregnancy is -
1 USG
2 laparotomy
3 aspiratn of post. fornix
ans. given is USG

Best investigatn to diagnose ectopic pregnancy is -
1 USG
2 laparoscopy
ans. given is laparoscopy

so what's the best investigatn- USG /laparoscopy / laparotomy & what's the second best?????
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Quick Scroll 09.27.04 (3 years ago) #2

its USG.first best one since it does show absence of fetus in the uterus n it wud confirm some mass in fallopian tubes.furthermore it's confirmed by laproscopy.then we proceed to Laparotomy 4 its t/m.this is wat i got from internship experience.
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Quick Scroll 09.27.04 (3 years ago) #3

USG -i think best option with high beta HCG.
if ruptured go for laparatomy
laparoscopy - done when there is confussion of other pelvic condition(DATTA)
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Quick Scroll 09.27.04 (3 years ago) #4

ye nita!u r right.I agree with ur explaination.
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Quick Scroll 09.27.04 (3 years ago) #5

best inv is laprascopy,( yaar its always confirmatory to visualize directly than viewing by an instrument like usg)... ofcoure commonly done is usg but better than it is laprascopy or lapratomy... b hcg is not surely the ans bcoz it is elevated in both normal n ectopic one...albit a lower value may be found in ectopic one...
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Quick Scroll 09.28.04 (3 years ago) #6

drnikhil ur ans is logical but is there any reference cause in dutta its clearly written usg
Rx pg help
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Quick Scroll 09.28.04 (3 years ago) #7

they have asked the best investigation and not the first investigation. So guys best would be to directly visualise. I'll go for lapro.
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Quick Scroll 09.28.04 (3 years ago) #8

Best investigatn to diagnose ectopic pregnancy is -
1 USG
2 laparotomy
3 aspiratn of post. fornix
ans. given is USG

Best investigatn to diagnose ectopic pregnancy is -
1 USG
2 laparoscopy
ans. given is laparoscopy

We have the same question and different options.
In first Q the best option and ans will be USG.

In second Q the best option is laparoscopy.

No confuse here: different options, but between USG and laparoscopy, for sure: LAPAROSCOPY .

USG in only defenitive if cardiac activity is detected in the tube or uterus.
Laparoscopy for defenitive Ds.

Toronto Notes, GY 27, 2004

Everything what is mention from Drs in discussion is correct, only different options are metter, how I understand.

Sanya
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