Download - B hcg y manejo expectante embarazo ectópico
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B-HCG MANEJO EXPECTANTE EE
JONATAN CERNA
Mavrelos D1, Memtsa M2, Helmy S3, Derdelis G4, Jauniaux E5, Jurkovic D6. β-hCG resolution times during
expectant management of tubal ectopic pregnancies. BMC Womens Health. 2015 May 21;15:43.
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EMBARAZO
ECTÓPICO
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EMBARAZO
ECTÓPICO
MORBI-MORTALIDAD
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EMBARAZO
ECTÓPICO
RESOLUCIÓN ESPONTÁNEA
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MANEJO
EXPECTANTE
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SELECCIÓN
APROPIADA
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TIEMPO
SEGUIMIENTO ESPONTÁNEA
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UNIVERSITY COLLEGE LONDON HOSPITAL
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RETROSPECTIVO
ECO SISTEMÁTICA
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CATEGORIAS
EMB ECTÓPICO
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DOLOR
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INESTABILIDAD CV
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HEMOPERITONEO
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EE VIVO
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B-HCG >1500
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RECHAZO O DIFICIL SEGUIMIENTO
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CIRUGÍA!!
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EL RESTO…
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MANEJO EXPECTANTE
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VIAJAR
SEXO
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DOLOR ABDOMINAL
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URGENCIA!!!
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B-HCG < 20 TEST PACK (-)
COMPLETO
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RESULTADOS
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19056 SOSPECHAS
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EMBARAZO
474 ECTÓPICO
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MANEJO EXPECTANTE
54%
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EXPECTANTE
EXITOSO
33%
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CONTROLES
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DIAS
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B-HCG
306 MEDIA
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11% DESCENSO
MEDIO
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B-HCG
MAX
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%
DESCENSO
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CONCLUSIÓN
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TIEMPO
CORTO
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INFORMAR!!
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MUCHAS GRACIAS