Pregnancy tests with end-stage renal disease

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 all 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. (C) 2009 Elsevier Inc. All rights reserved.