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What are your differentials if the BHCG is positive but the US scan is normal?
Ectopic elsewhere or early pregnancy, trophoblastic disease
what is the significance of finding gut herniation at this at this gestationial age?
physiological before 11 weeks
Clinical gestational age: 5 weeks 1 day
Live intrauterine gestation, with a crown rump length of 33 mm, dating at 10 weeks gestation; cardiac activity have been observed. No perigestational haemorrhage seen. The cervix is long and closed. The ovaries are normal in appearance. No pelvic free fluid is identified.
Conclusion Live intrauterine gestation, dating at 10 weeks as per CRL. No ectopic gestational identified.