| Medical management of ectopic pregnancy. | |
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MedLine Citation:
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PMID: 22510624 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The use of medical management of ectopic pregnancy has become an accepted alternative to surgical therapy. Methotrexate, a folic acid antagonist, is the most widely studied agent. The most commonly used protocol consists of methotrexate 50 mg/m of actual body weight. Assessment of human chorionic gonadotropin (hCG) levels is repeated on days 4 and 7. Repeat methotrexate dosing is performed for hCG drops <15%. Contraindications include hemodynamically unstable patients or those with elevated liver enzymes, low white blood count, or abnormal renal function. hCG levels are most predictive of success. A success rate of above 90% is achievable. |
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Authors:
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Gary H Lipscomb |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical obstetrics and gynecology Volume: 55 ISSN: 1532-5520 ISO Abbreviation: Clin Obstet Gynecol Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-04-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0070014 Medline TA: Clin Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 424-32 Citation Subset: IM |
Affiliation:
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Departments of Family Medicine; Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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