Normal hCG levels (mIU/mL) by week:
4 weeks: 5 – 426
5 weeks: 18 – 7340
5 weeks: 18 – 7340
6 weeks: 1080 – 56 500
7–8 weeks: 7650 – 229 000
9–12 weeks: 25 700 – 288 000 (PEAK)
13–16 weeks: 13 300 – 254 000
Clinical Focus
Business Focus
Spotlight
Subscribe
CE/CME
- CDC
- Heart Failure
- Cardiovascular Clinical Consult
- Adult Immunization
- Hepatic Disease
- Rare Disorders
- Pediatric Immunization
- Implementing The Topcon Ocular Telehealth Platform
- Weight Management
- Monkeypox
- Guidelines
- Men's Health
- Psychiatry
- Allergy
- Nutrition
- Women's Health
- Cardiology
- Substance Use
- Pediatrics
- Kidney Disease
- Genetics
- Complimentary & Alternative Medicine
- Dermatology
- Endocrinology
- Oral Medicine
- Otorhinolaryngologic Diseases
- Pain
- Gastrointestinal Disorders
- Geriatrics
- Infection
- Musculoskeletal Disorders
- Obesity
- Rheumatology
- Technology
- Cancer
- Nephrology
- Anemia
- Neurology
- Pulmonology
Seen in the ED Quiz: 6 Weeks Pregnant with Vaginal Bleeding
The patient is 42-years-old, G2P1 and presents with 1 week of vaginal spotting, 4 days of pelvic pain. Review the ultrasound and lab findings. What's your diagnosis?
Patient history. A 42-year-old woman who is G2P1 and approximately 6 weeks pregnant is sent from her clinic to the emergency department for 1 week of vaginal spotting and 4 days of pelvic pain. She denies any fever, dysuria, vomiting, or other complaints.
Exam. Vital signs all are normal. Exam is normal except for mild suprapubic tenderness.
Initial Concerns:
- Ectopic pregnancy
- Threatened abortion
- UTI
- Sexually transmitted disease
Testing:
- CBC: normal
- Beta hCG: ~270,000 mIU/mL (see normal values, by week of gestation, at right)
- Pelvic ultrasound: see image
What does the case image show?
Molar Pregnancy fromThe Emergency Medicine 1-Minute Consult Pocketbook
Related Content
