-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Diagnostic Challenge at Ben Taub Hospital From: Charlie Chambers (cchamber@IC.Owatonna.MN.US) Mon Oct 30 23:50:14 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Suddoc@aol.com: "20 Week Fibroid Uterus" Previous message: Don Shuwarger, M.D., F.A.C.O.G.: "Dx Dilemma" Maybe in reply to: Geffrey Klein, MD: "Diagnostic Challenge at Ben Taub Hospital" Sending the response from my friend the ID physician at the University of Nebraska-Omaha >As usual, the interesting stuff gravitates to the Tub. Sounds >like your friend is well on his way in the work-up. The old adage >that common things occur commonly has served me well over the >years, however, and in a young Mexican immigrant with a subacute >illness, I'd worry about tuberculosis (especially renal TB in >this case) and brucella. Leptospirosis is common this time of >year, and if she had the right exposure history, serology is >indicated. Brucella can be cultured. And renal TB is often >associated with a positive PPD and urine culture. > >Hemolysis is of possible concern in her, although I calculate a >corrected reticulocyte count to be about 1.6%, and the enzymes >are not that high. Assuming blood loss has been excluded, it is >possible that she is having a pure red cell problem - parvovirus >would be the big concern here. Also, don't forget about acute CMV >infection. Hepatitis A/B/C and EBV are possible is the history >supports them (e.g. sexual esposure, raw seafood, IVDA, etc.) >Always prudent to check for HIV, too. > >Obviously, non-infectious stuff is always possible. Toxin >reaction? Pesticide exposure? Stuff like that. > -- ############################################################################## Charlie Chambers " No matter where you go... cchamber@ic.owatonna.mn.us there you are" Owatonna Clinic, P.A. (507) 451-1120 ############################################################################ ## Next message: Suddoc@aol.com: "20 Week Fibroid Uterus" Previous message: Don Shuwarger, M.D., F.A.C.O.G.: "Dx Dilemma" Maybe in reply to: Geffrey Klein, MD: "Diagnostic Challenge at Ben Taub Hospital"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:16:41 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.