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Re: Gyn: Menometrorrhagia/PTE**follow up From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Sep 20 19:33:33 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: Gyn: Menometrorrhagia/PTE" Previous message: Garry E. Siegel, M.D.: "Re: Positive HCG In Menopausal Patient On Dialysis ..." In reply to: Garry E. Siegel, M.D.: "Gyn: Menometrorrhagia/PTE" Next in thread: Betsy Hyde: "Re: Gyn: Menometrorrhagia/PTE" This patient has menomet by history, and has only been to a gyn 2 or 3 times ever, the last time more than 5 years ago. Abdominal exam unremarkable. Her uterus was upper normal, anterior. Pipelle biopsy done--uterus only 6 cm, and I went to the fundus, which was deviated to the left, and used a tenaculum. Scant tissue obtained with 2 passes, and I really think that I was in the cavity. U/S--indistinct endometrium, 13 cm. max dimension, 3 fibroids, the largest of which was 5 cm. I'm going to use Provera 20 mg/day, and keep Lupron on reserve. Once stable, I'll get a saline sonogram before she is discharged. Garry At Wed, 20 Sep 2006, Garry E. Siegel, M.D. wrote: > >53 YO new diabetic, hospitalized by Internist for control. Found to >have microcytic anemia with a Hemoglobin of 8, and is S/P transfusion. >Has had menomet. a while, and I was just consulted, as she was just >diagnosed with a Pulmonary Thromboembolus and needs anticoagulation. > >I am going to see her in a few minutes, and likely do an endometrial >biopsy. Normally, I would then initiate high dose Estrogen or the BC >Pill BID-TID to stop bleeding. Obviously, those are contraindicated. > >?Oral Provera >?DepoProvera >?Lupron >?Other > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Betsy Hyde: "Re: Gyn: Menometrorrhagia/PTE" Previous message: Garry E. Siegel, M.D.: "Re: Positive HCG In Menopausal Patient On Dialysis ..." In reply to: Garry E. Siegel, M.D.: "Gyn: Menometrorrhagia/PTE" Next in thread: Betsy Hyde: "Re: Gyn: Menometrorrhagia/PTE"

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