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Re: Pyometra From: Efrain Ramirez (eramirezt@coqui.net) Fri Nov 30 17:51:50 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: GBS" Previous message: RModugno@aol.com: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: R. Daniel Braun: "Re: Pyometra" Reply: R. Daniel Braun: "Re: Pyometra" Reply: Dr Eberhard W Lisse: "Re: Pyometra" Wait for path results Ef At Wed, 29 Jun 2005, Dr. Ainsworth wrote: > >I saw a pleasant 82 yo widowed-lady last week. She is not sexually >active and was referred because of "recurrent vaginal spotting" over the >past two years. No other complaints, in fact she didn't even feel she >had a problem, takes no meds, no health problems. Her FP ordered a >sonogram before I saw her that showed fluid within the endometrial >cavity and possibly a 12mm polyp. I suggested an endometrial biopsy >which she reluctantly agreed to. When I introduced the pipelle, which >slid in without resistance, much to my suprise, it filled quickly with >purulent material. I replaced it with an explorer curette and the >syringe filled with 8 cc of pus and was blood tinged. Pathology came >back benign with mucopurelent material. The culture showed diphtheroids >and enterococcus. I placed her on Doxycycline at the time of the >biopsy, when the culture and sensitivity came back the only thing it was >sensitive to was Vancomycin. My plan is to finish the current >antibiotics and repeat the sonogram in a month. Does anyone feel that a >hysteroscopy is necessary at this point? Any ideas on why she would >present with this unusual finding? -- "I can accept failure, but I can't accept not trying." - Michael Jordan Next message: R. Daniel Braun: "Re: GBS" Previous message: RModugno@aol.com: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: R. Daniel Braun: "Re: Pyometra" Reply: R. Daniel Braun: "Re: Pyometra" Reply: Dr Eberhard W Lisse: "Re: Pyometra"

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