Ectopic Pregnancy : Diagnosis

H&P , serial hCG levels , decreased progesterone levels , decreasing estradiol levels , increasing MSAFP , C-reactive protein and CA-125 levels , vaginal US , cureyyage , culdocentesis (+if ruptured but in 2 days --> a non-viable pregnancy should be assumed.

hCG abnormal pregnancy.

Abnormal pregnancy then hCG rises or falls very slowly and NO POC or pathology --> strongly suspect ectopic.

Serum progesterone:

abnormal pregnancy

>25ng/ml --> lviable pregnancy

most ectopics

Ultrasound diagnosis - sca can normally be seen with TVUS when hCG level is between 1000 and 2000 mlU/ml (first and second IRP).

My South Africa