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Re: 2 cases From: Joanne Bulley, MD (islesannie@yahoo.com) Sun Mar 19 13:07:19 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: GYN: 2 cases" Previous message: Gerald P. Rodríguez: "Re: 2 cases" At Sun, 19 Mar 2006, Gerald P. Rodríguez wrote: > >Case 1.: It's not clear if she has or does not have blood in her urine. I am bringing her into the office. I told her that GBBS is not usually a pathogen in the vagina and that I don't treat it unless I am convinced symptoms warrant. The PCP sent the culture and put her on the PCN because the patient was complianing of irritation. The PCP did a urine culture that was negative. I am planning on having her come in - for a cath spec for UA and exam and recommendations. She could also have radiation cystitis as well. I have been trying to convince her she really needs the vaginal estrogen (as did a gyn onc doc when consulted for related reasons about 3 years ago). I didn't think there was any other new wonderful treatment I missed for the vaginal problems after radiation. I have never used IM androgen. (except decades ago when I came to town and it was occasionally given post partum) so what is the dose and the frequency? Joanne >she does, with sterile urine, she needs cystoscopy/G-U workup. Also not >clear if she has any symptoms from the Group B Beta Strep. If not >symptomatic, would not treat except with lots and plenty of vaginal >estrogen. > >Case 2. Would bypass the liver and go with transdermal or IM androgen. > >Gerald P. Rodríguez, M.D., FACOG >Santa Fe > -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: R. Daniel Braun: "Re: GYN: 2 cases" Previous message: Gerald P. Rodríguez: "Re: 2 cases"

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