Re: Interstitial Cystitis
From: Andrew Folley (agfolley@hotmail.com)
Thu May 17 07:26:40 2007
Has anyone done the potassium chloride bladder infusion test in a patient
suspected of having IC??
Do you make up the potassium Chloride solution yourself?? How much to
instill? etc?? thanks andy
>From: johnprov@sympatico.ca (Dr. John Provatopoulos B.Sc. M.D.C.M.
>F.R.S.C.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Interesting pregnancy case – suggestions?
>Date: Wed, 16 May 2007 18:41:14 -0500
>
>At Wed, 16 May 2007, Dean Huffman . wrote:
> >
> >..
> >
> >Interesting pregnancy case – suggestions?
> >
> >34 Y/O white female, G3 P2002 (uncomplicated vaginal deliveries),
>currently 11
> >0/7 weeks gestation today.
> >
> >HCG at 7 6/7 weeks (for diagnosis of pregnancy) is 46,668.
> >
> >Ultrasound at 10 0/7 weeks of gestation showed normal fetus in
>gestational sac,
> >normal fetal heart beat, normal yolk sac present. An additional sac was
> >present, smaller that the first, appearance consistent with a gestational
>sac,
> >with apparent yolk sac (twice a large as the other one). Small amount of
>tissue
> >seen in the sac, size of 6 week gestation, no cardiac activity. HCG
>104,865. TSH
> >normal. Right ovarian simple cyst 5 x 5 x 6 cm.
> >
> >10 2/7 weeks, HCG 117,178 (different laboratory).
> >
> >11 0/7 weeks. Fetus has appropriate growth, normal heart beat, appears
>normal.
> >Multiple cystic structures now seen in uterus, but outside gestational
>sac for
> >normal appearing fetus, measuring variously 0.5 – 2.7 cm. in diameter.
>Right
> >ovarian simple cyst 4.8 x 3.5 x 2.4 cm. Repeat quantative HCG pending.
> >
> >There has been nothing on ultrasound that shows a classic appearance of a
> >hydatidiform mole (multiple small cysts, “snow storm” pattern, etc.).
> >
> >I will see her in two days, along with gyn oncologist.
> >
> >Any thoughts or suggested diagnosis? Do you think this is a molar
>pregnancy? If
> >so, why so, if not, why not? Do you have any additional suggested
>laboratory
> >tests? Any suggested interventions? Any additional thoughts?
>
>Twin pregnancy with second twin undergoing slow resorption, partial
>molar pregnancy, normal pregnancy and partial molar pregnancy, normal
>pregnancy and molar pregnancy. Any of the above are possible. Lots of
>documentated cases of normal and partial molar pregnancy coexixting and
>normal pregnancy reaching viability.
>
>--
> Take care, John
|
|
