Re: Interstitial Cystitis
From: Andrew Folley (agfolley@hotmail.com)
Thu May 17 12:21:27 2007
Glenn thanks. I will avoid the hydrodistension. andy
>From: "Elrod, Darryl G Maj 48 MDOS/SGOBO" <Darryl.elrod@LAKENHEATH.AF.MIL>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: Interstitial Cystitis
>Date: Thu, 17 May 2007 07:47:28 -0500
>
>Andy,
>
>I haven't done it, but I just wanted to point out (after having to
>search for such things) that there are case reports of bladder necrosis
>after hydrodistension for diagnosing IC. I know its not the same thing,
>but just to make you aware.
>
>I have an article on it if you would like.
>
>Glen
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew
>Folley
>Sent: Thursday, May 17, 2007 1:27 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Interstitial Cystitis
>
>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
>
>ation_HM_mini_2G_0507
>
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