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Re: Difficult Case Microcephaly From: art fougner, md (evsono@pipeline.com) Fri Dec 28 19:00:20 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Glen Elrod: "Re: Family practice and OB" Previous message: DoctorJoe@aol.com: "Re: Family practice and OB" In reply to: Andrew Folley: "Re: Difficult Case Microcephaly" Sample protocol given the clinical data - Admission Steroids Doppler of ductus venosus - abnormal arterial doppler correlates with hypoxemia abnormal venous doppler correlates with acidemia. Continuous fetal monitoring for 48 hrs, then daily. If possible, use sonicaid Dawes-Redman program to evaluate long and short term variability. Deliver for abnormal NST OR abnormal venous doppler OR maternal indications. Just my opinion ... I could be wrong. Art At Fri, 28 Dec 2007, Andrew Folley wrote: > >17 year old white female at 25 weeks presents to triage Christmas Eve with onset of painless bright red bleeding. Normal ultrasound 5 weeks prior.Ad itted and echo shows significant abruption of fundal placenta with subchor onic bleed 8x6cm size. > >ppropriate size for age. >Doppler flow by MFM shows "no diastolic flow in UA" >and "uterine artery notching". > > suggestions other than "really bad prognosis for baby"???? > >Einstein 1941 >_________________________________________________________________ >i=92m is proud to present Cause Effect, a series about real people making a= >_________________________________________________________________ >_________________________________________________________________ > difference. -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Glen Elrod: "Re: Family practice and OB" Previous message: DoctorJoe@aol.com: "Re: Family practice and OB" In reply to: Andrew Folley: "Re: Difficult Case Microcephaly"

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