Re: PMB on coumadin

From: Joe (forcep@intercom.net)
Fri Apr 27 17:16:06 2007


Even though it might be related to history ,you still got to sample. Joe C

Henry Gregor wrote:

> Listers
>
> A 53 yo, LMP 4 years ago, presents with two weeks plus heavy vaginal
> bleeding, w/o presyncopal sx's. She is on coumadin secondary to hx of
> mitral valve replacement. INR is 2.3, and pt is w/o petechiae,
> ecchymoses, or hx of epistaxis or bleeding gums, etc.
>
> PE is unremarkable, and a pap (neg hx abnl past ones) is pending. Sono
> with heterogenous endometrial stripe, at 7 mm. I am planning to do an
> endometrial pipelle sampling. Comments appreciated.
>
> Thanks
>
> Hank
>
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