--
________________________________
Daniel Braun
Sent: Saturday, 1 December 2007 12:40 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Pyometra
You need to rule out endocervical cancer!!!!!!!!!!!!!!!!!
Pyometra is usually caused by obstruction to outflow through the cervix.
Dan
On Nov 30, 2007 7:53 PM, Efrain Ramirez < eramirezt@coqui.net
<mailto:eramirezt@coqui.net> > wrote:
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
--
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
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