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Re: Interesting Case From: D. Ashley Hill (dahmd@cfl.rr.com) Fri May 4 22:23:25 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ljmidwife@aim.com: "Vagiflor" Previous message: Andrew Folley: "Re: Interesting Case" In reply to: Dr Eberhard Lisse: "Interesting Case" Next in thread: DoctorJoe@aol.com: "Re: Interesting Case" In addition to what other listmembers have suggested, you might consider a prolapsed submucous fibroid. I recently saw a patient with a 14-16 week sized uterus and multiple fibroids present with 8 day menses (previously 4 days long). Her cervical exam was normal, as was her Pap. a month or so later she called complaining of profuse watery discharge after her last menses. On exam she had a large, prolapsed fibroid that I removed in the OR, and her discharge resolved. Ashley At Fri, 04 May 2007, Dr Eberhard Lisse wrote: > >Saw a G5P5M0 lady yesterday, 45 years, complaining about menstruation >getting heavier and longer, now 7 days, and watery discharge after the >menstruation. > >She has seen one GP trained behind the Iron Curtain for a year or so who > transfused her but otherwise hasn't figured out anything. She then >went to see my GP who sent her after the second visit down the hall to >see me. PAP was normal, Urine showed E. Fecalis which has been treated, >a full lab workup was otherwise normal. > >BMI of 30, bulky uterus. Otherwise nil of note. > >What will the Ultrasound show? > >el -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Medical Director, Loch Haven Ob/Gyn Group Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando Orlando, Florida Next message: ljmidwife@aim.com: "Vagiflor" Previous message: Andrew Folley: "Re: Interesting Case" In reply to: Dr Eberhard Lisse: "Interesting Case" Next in thread: DoctorJoe@aol.com: "Re: Interesting Case"

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