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Re: Postpartal Urinary Retention X's 3From: Harrison Sheld (hsheld@anv.net)Tue Sep 24 17:02:16 1996
Is the patient on any medications e.g., psychotherapeutics? I would wonder about intrapartum anesthesia and analgesia. What was the management of the second stage, the size of infant and type of presentation? I would consider a neuropathy from lithotomy. What is her neurological exam? Finally, this could be a precursor to full blown MS some time down the line, brought on at this time by the physical stresses of delivery, and/or pharmacotherapy during labor. Probably this will resolve just as the previous episodes, so I don't know how much of a work-up I would do.
-- Harrison Sheld, M.D. Dept OB-GYN University of Nevada
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