Re: low hgb-update

From: art fougner, md (evsono@pipeline.com)
Thu Aug 16 11:24:35 2007


Assuming the Hgb electrophoresis is nl ... microangiopathic hemolytic anemia is becoming more and more likely.

As Michael Ledeen says in another context, "Faster, Please."

Art

At Thu, 16 Aug 2007, R. Daniel Braun wrote: >
>Bilirubin???? That big a drop would raise the Bili quite a bit if it were
>due to hemolysis.
>Hgb electrophoresis shouldn't take more than a day and it was done more than
>a week ago. Results?????
>Dan
>
>On 8/15/07, Babycatchers@aol.com <Babycatchers@aol.com> wrote:
>>
>> They are still leaning toward the 'some kind of thalasemia' dx.
>> She had another unresponsive 'spell' while her husband was at the grocery
>> store today. Brought her to the hospital. Hgb 4.8. (she delivered last Wed
>> ). He swears that she bled very little after she went home. Got the blood
>> going and shipped her out. OB/ER doc still shaking their heads.
>> US of pelvis/abd showed no hematoma. I even checked vaginally to see if
>> she could have had an occult vaginal hematoma. None. Very scant blood in the
>> vault.
>> Where did it go?? We haven't heard from the referral center yet. Came in
>> today.
>> Husband stated she was a little disoriented this morning and complaining
>> of the weakness again, but they needed formula-she was not up to nursing.
>> She was sleeping in ER but roused to pain and moaned. Maybe some kind of
>> complex partial seizure?? She was acting like she is post-ictal. The family
>> called and said she woke up and was oriented about 3 hours later.
>> Zebra hunt.
>> Thanks,
>> Vicki CNM, MSN
>>

>> http://discover.aol.com/memed/aolcom30tour
>
>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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