“Typically” vs. “as low as”… I would go for whatever is more definitive/likely
This is so confusing that I suspended all the cards and just went with 1500 in my exams. Can’t weigh on this.
This change is correct per AMBOSS and primary articles. I would suggest a couple additional edits:
- B-hCG should be a range of 1500 - 2000
- Emphasis on the word TYPICALLY
- Extra field: Transabdominal US will generally require a higher B-hCG to identify an IUP
- Extra field: POCUS can confirm IUP or ectopic pregnancy if visible, but cannot rule either out in early pregnancy
- Extra field: Absence of an IUP with elevated B-hCG = pregnancy of unknown location
- Extra field: Numerous factors can lead to an IUP with B-hCG >2000 not being identified on US, therefore a B-hCG >3500 in the absence of an IUP on US is considered a more conservative threshold for ruling out a normal IUP.
Per AMBOSS, ectopic pregnancy → diagnostics
https://next.amboss.com/us/article/fO0k7T#hfbcNG
This card is also tagged as DELETE(Duplicate) (copy of nid:1547242132167). Think the issue is UW says the discriminatory level is 3500 (QID 19918 step 2), while amboss says it is 1500 - 2000. I’d suggest leaving as is and consider adding note to extra section that UW says discriminatory level is 3500, Amboss says 1500-2000. Discriminatory level is the level at which an intrauterine pregnancy is normally seen on ultrasound. @Ahmed7 @herstein.jacob @Cameron @Sameem
Agree
feel free to make any edits, support
thanks, think it’s good now