--
Richard Chudacoff, MD, FACOG
Las Vegas International Center for Advanced Gynecologic Care
(Specializing in minimally and non-invasive surgery)
2481 Professional Court
Las Vegas, NV 89128
TEL: 702-485-8893
FAX: 702-974-0945
www.lasvegasgyncenter.com <http://www.lasvegasgyncenter.com/>
www.exablateoflasvegas.com <http://www.exablateoflasvegas.com/>
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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
JSBowpat@aol.com
Sent: Wednesday, November 14, 2007 2:44 PM
To: Multiple recipients of list OB-GYN-L
Subject: Input appreciated
Your collective comments would be appreciated:
* 23 yo G3P2 with ITP at 23.2 wks, platelets being done every month,
stable b/w 60-70K - pt wishes to avoid steroids this pregnancy - her
heme/onc gets the monthly results, with recommendations for ITP management -
so far, just wait and see
* on 21 wk scan, marginal placenta previa
* sent for MFM consult this pregnancy, secondary to ITP - MFM knows
pt from previous pregnancy
* MFM calls yesterday - dx'd fetus with infantile polycystic kidney
disease "classic on U/S" were her comments
* AFI 3.0, on scan 2 wks ago 8.0
* pt not likely to terminate
* future genetic concerns? MFM stated this was an autosomal
recessive d/o
* pt was told up front (prior to U/S findings) that should
platelets get too low or marginal placenta previa remain, she is not
appropriate for delivery at our Level 1 community hospital
Any recommendations?
Susan Paterson CNM
Judith Bowers DO
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and Make AOL Your
