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Re: How to approach a caseFrom: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)Sun Aug 20 22:09:53 2006
Pfannenstiel Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, 21 August 2006 1:00 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: How to approach a case 40 YO P1001, insulin requiring diabetic, was hospitalized by her FP 3 weeks ago with a febrile illness, and likely had bilateral small TOAs or at least hydrosalpinges on CT. I saw her a couple of days after admisssion, and she gave a vague but convincing story of prior problems with cysts treated with antibiotics, and maybe an infection. Long story short, she sounds like chronic PID with an exacerbation, likely worsened/complicated by IDDM. A follow-up CT at discharge (the FP ordered it) showed bilateral 3 or 4 cm. hydrosalpinges. She is of normal build, and her exam recently was pretty benign--she was markedly less tender, a retroverted, normal sized uterus and no masses. I am planning a TAH-BSO soon, and plan a bowel prep. What type of incision would you make? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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