| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website http://www.journalmc.org |
Case Report
Volume 3, Number 2, April 2012, pages 119-122
Failed Treatment of an Ectopic Pregnancy Despite Beta-HCG of < 2
Tables
| Test | Result |
|---|---|
| Urinalysis | |
| Color | Straw |
| Clarity | Clear |
| Glucose | Negative |
| Bilirubin | Negative |
| Ketones | Negative |
| Specific Gravity | 1.025 |
| Blood | Large |
| Urine Protein | Negative |
| Urobilinogen | 0.2 |
| Nitrite | Negative |
| Leukocyte Esterase | Negative |
| pH | 7.0 |
| Urinalysis, Micro | |
| RBC | 2 to 10 HPF |
| WBC | 0 HPF |
| Bacteria | None seen |
| Urine Pregnancy | Negative |
| ABO/RH and AB Screen | |
| ABO/RH(D) | O Positive |
| Antibody Screen | Negative |
| Test | Result | Lab Standard (where applicable) |
|---|---|---|
| Electrolytes | ||
| Sodium | 140 mmol/L | 135 - 145 mmol/L |
| Potassium | 3.9 mmol/L | 3.5 - 5.0 mmol/L |
| Chloride | 104 mmol/L | 95 - 108 mmol/L |
| Carbon Dioxide | 25 mmol/L | 24 - 32 mmol/L |
| Calcium, Serum | 8.4 mg/dL | 8.5 - 10.5 mg/dL |
| Glucose,Random,Bld | 136 mg/dL | 50 - 140 mg/dL |
| Magnesium, Serum | 1.8 mg/dL | 1.8 - 2.3 mg/dL |
| BUN | 12 mg/dL | 10 - 25 mg/dL |
| Albumin, Serum | 3.7 g/dL | 3.7 - 4.8 g/dL |
| Creatinine | 1.0 mg/dL | 0.6 - 1.1 mg/dL |
| CBC | ||
| WBC Count | 6.0 K/uL | 3.8 - 10.6 K/uL |
| RBC Count | 4.48 M/uL | 4.15 - 5.55 M/uL |
| Hemoglobin | 12.5 g/dL | 12.0 - 15.0 g/dL |
| Hematocrit | 38.0 | 36 - 4 6% |
| MCV | 84.8 fl | 80 - 100 fl |
| MCH | 27.9 pg | 26 - 34 pg |
| MCHC | 32.9 g/dL | 31 - 37 g/dL |
| RDW | 13.8 % | < 14.5% |
| Platelet Count | 207 K/uL | 140 - 400 K/uL |
| Differential | ||
| Neutrophil | 65% | |
| Lymphocyte | 24% | |
| Monocyte | 9% | |
| Eosinophil | 2% | |
| Basophil | 0% |
| Timeline | B-HCG |
|---|---|
| Day of visit | 105 |
| 11 days prior | < 2 |
| 14 days prior | 153 |
| 18 days prior | 164 |
| 19 days prior | 174 |
| 24 days prior | 207 |
| 26 days prior | 218 |
| 34 days prior | 314 |
| 39 days prior | 554 |
| 42 days prior | 955 |
| 47 days prior | 2,907 |
| 49 days prior | 3,910 |
| 52 days prior | 6,001 |
| 55 days prior | 7,912 |
| 60 days prior | 5,362 |