Who does the ectopic removal?

[Rockhouse]

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OB/Gyn or Gen Surg. It seems like all the text i run into just expects me to know this, and PhD's teaching my PBL don't seem to know (or think they shouldn't let that go).

 

[DrMom]

I've only seen it done by OB, but I'm sure that general surgery could do it if OB weren't available.

 

[Rockhouse]

Wonderful turnaround time Dr.Mom, thank you. Are you interested in EM?

 

[DrMom]

I am an EM resident.

 

[Rockhouse]

I like your style. Do you see many ruptured ectopics come down the line?

 

[DrMom]

I've seen 3 in the past 2 months.

 

[Rockhouse]

They hed downhill pretty quickly? (last question I promise).

 

[DrMom]

not necesarily, but it still is a true surgical emergency. Once you know they're ruptured things get moving.

 

[kelaskov]

OB/Gyn or Gen Surg. It seems like all the text i run into just expects me to know this, and PhD's teaching my PBL don't seem to know (or think they shouldn't let that go).

In the rural areas I worked in this past summer, the gereral surgeons replaced the OBGyns (there weren't any Obs for 60 miles) and did almost all ObGyn procedures except for vaginal hysterect. I think it depends on the individual surgeons training and location (rural vs. urban). In more urban areas most all C-sections, emergency ectopics, etc. would be taken care of by Ob's.
Interestingly, the family practice docs did all pre/post-natals, vaginal births, cervical- cryotherapy (LEEP done by Ob 60 miles away), etc.

 

[Arsenic]

not necesarily, but it still is a true surgical emergency. Once you know they're ruptured things get moving.

free fluid in the cul-de-sac! 🙂

 

[VPDcurt]

General surgeons can pretty much do anything OB/GYN can do...surgically that is. And gen surgs can do it much faster - without all of the wasted steps that OB/GYNs perform...too much suturing and wasting time with the Haney (sp?) clamps.