Re: LEFT upper quadrant pain

From: R. Daniel Braun (rd.braun@gmail.com)
Tue Feb 5 17:37:16 2008


You told us that she has an enlarged spleen. i.e. you said that you felt it. Believe in your exam.

Dan

On Feb 5, 2008 5:18 PM, Glen Elrod <dr99645@yahoo.com> wrote:

> I've read that because platelets are reactive, that stress can cause an
> increase. My thought regarding that was the postpartum hemorrhage with
> transfusion would be the cause, but then again I have no baseline to compare
> it to.
>
> I think I'll send her to internal medicine before her Medicaid runs out!
>
> Glen
>

>> ----- Original Message ----
> From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. <
> johnprov@sympatico.ca>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> Sent: Monday, February 4, 2008 6:31:47 PM
> Subject: Re: LEFT upper quadrant pain
>
> When it comes to surgical causes of thromcocytosis it almost always
> turns out to be retroperitoneal hemotomas IMHO, I almost never have to
> drain these, its not unusal for them to take six months to resolve.
> Hypersplenism is often preceded by years of thrombocytosis before the
> platlets crater out.
>
> --
> Take care, John
>
> now.<http://us.rd.yahoo.com/evtQ733/*http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ>
>

--
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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