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J Clin Anesth. 2008 Dec;20(8):609-13. doi: 10.1016/j.jclinane.2008.05.025.

Pregnancy tests with end-stage renal disease.

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  • 1Department of Anesthesiology, University of Kentucky, Lexington, KY 40536, USA.


Tests to ascertain pregnancy status are often obtained during preoperative evaluation, especially when there is a history of uncertain pregnancy or suggestion of current pregnancy. A serum pregnancy test, a beta-human chorionic gonadotropin (beta-HCG) level, was preoperatively obtained from a woman of childbearing age with end-stage renal disease (ESRD) with an unreliable history of irregular menstruation coupled with unprotected sexual activity. The beta-HCG was elevated in the range indicating pregnancy. Further work-up showed that this hormonal elevation was secondary to ESRD without pregnancy.

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