Re: Pyometra
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Nov 30 20:40:30 2007
Agree --- wait and see..
Ef
At Fri, 30 Nov 2007, R. Daniel Braun wrote:
>
>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> 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
>
--
"I can accept failure, but I can't accept not trying." - Michael Jordan
