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Full-Text Articles in Medicine and Health Sciences

Language Preference Impact On The Outcomes Of Those Lost To Follow-Up After A Diagnosis Of Pregnancy Of Unknown Location, Erin A. Leestma, Mayra A. Shafique, Megan Mcnitt, Annmarie Vilkins Jun 2022

Language Preference Impact On The Outcomes Of Those Lost To Follow-Up After A Diagnosis Of Pregnancy Of Unknown Location, Erin A. Leestma, Mayra A. Shafique, Megan Mcnitt, Annmarie Vilkins

Medical Student Research Symposium

Pregnancy of unknown location (PUL) is a temporary diagnosis when there is a positive pregnancy test but an intrauterine gestational sac and/or fetal pole are not visualized with ultrasonography. The three potential outcomes for such a pregnancy are failed pregnancy, an early intrauterine pregnancy or an ectopic/abnormal pregnancy. Given the serious associated morbidity of ectopic pregnancy, these PUL require strict follow up of bHCG levels to help the clinician determine the likely outcome of the PUL (failed vs early vs ectopic) and choose the best intervention (expectant management, surgical management or medical management). One potential barrier to follow-up identified in …


Management Of Patients Diagnosed With Pregnancy Of Unknown Location, Mayra A. Shafique Jun 2022

Management Of Patients Diagnosed With Pregnancy Of Unknown Location, Mayra A. Shafique

Medical Student Research Symposium

Ectopic pregnancies account for 75% of maternal deaths in the first trimester and 9%-13% of all pregnancy-related deaths.1 It is critical that patients at risk for ectopic pregnancy be treated promptly. Pregnancy of unknown location (PUL) classifies a patient at risk for ectopic pregnancy when a pregnancy cannot be located on ultrasound but bhCG level is positive.2 The incidence of PUL is 15% in patients undergoing a transvaginal ultrasound early in the first trimester.2,3 In order to determine a management strategy to improve management of patient’s with PUL, a retrospective chart review of patients who presented to …