Re: Caso Clínico
From: Dean Huffman (dhuffman@eudoramail.com)
Sun Feb 13 14:27:29 2000
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A rough translation of the original post is listed below:
--
Dean Huffman
- - - - -
-- Translation Results by Transparent Language --
Estimated colleagues of the forum: I write since Tacuarembó, Uruguay,
asking them your opinion upon the following clinical case: Pte. of 30
years, Tercigesta, primípara, with TO. OR. of a spontaneous abortion,
an I leave normal with death neonatal of term, of unknown cause; without
other preceding personnels neither obstétricos to emphasize; portadora
of gestation of 35 weeks, embarrassment wellcontrolled, badly tolerated,
with history of internación by high figures of P.TO. light of until
140/90 in 2° trim., in processing co alfametildopa, compensated; normal
remainder; is entered for decrease of movements fetales at 35 o'clock
weeks.- Performed I monitor fetal in several opportunities, this informs
in the first instance a patron sinusoidal, to raiz of which it is
practiced ecografía that reveals ascitis fetal light and hepatomegalia.
-was Not practiced Doppler of artery umbilical.- Then to the few hours
begins with bradicardia fetal maintained, to raiz of which it is
practiced a cesárea of urgency, being extracted feto already without
life, of which the unique thing that was emphasized was the intense one
palidez cutaneomucosa, without malformaciones external; was not
practiced autopsia. -Meintertsaría especificamente its opinion in this
case upon the present meaning of the boss sinusoidal, and if owed itself
to act before.- -Greets Atte: Dr.Horacio Velázquez
----------- Your Original Text ----------------
Estimados colegas del foro: Les escribo desde Tacuarembó, Uruguay,
----------- Your Original Text ----------------
pidiéndoles vuestra opinión sobre el siguiente caso clínico: Pte. de 30
----------- Your Original Text ----------------
años, Tercigesta, primípara, con A.O.de un aborto espontáneo, un parto
normal con muerte neonatal de término, de causa desconocida; sin otros
antecedentes personales ni obstétricos a destacar; portadora de
gestación de 35 semanas, embarazo bien controlado, mal tolerado, con
historia de internación por cifras elevadas de P.A. leves de hasta
140/90 en 2° trim., en tratamiento co alfametildopa,compensada; resto
normal;es ingresada por disminución de movimientos fetales a las 35
semanas.- Efectuado monitoreo fetal en varias oportunidades, este
informa en primera instancia un patron sinusoidal, a raiz de lo cual se
le practica una ecografía que revela ascitis fetal leve y
hepatomegalia.-No se practicó Doppler de arteria umbilical.- Luego a las
pocas horas comienza con bradicardia fetal mantenida, a raiz de lo cual
se le practica una cesárea de urgencia, extrayéndose feto ya sin vida,
del cual lo único que se destacaba era la intensa palidez cutaneomucosa,
sin malformaciones externas; no se practicó autopsia.-Me intertsaría
especificamente su opinión en este caso sobre la significación actual
del patrón sinusoidal, y si se debió actuar antes.- -Saluda Atte:
Dr.Horacio Velázquez
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At Mon, 7 Feb 2000, Malcolm Griffiths wrote:
>
>You need the spanish list (you can find it via http://www.obgyn.net). Or a good
>translator!
>
>--
>Malcolm GRIFFITHS, Ob/Gyn E-mail obsdoc@doctors.org.uk
>Dept of Obs & Gynae +44(0)1582-497533 (Sec) 21, School
>Lane,
>Luton & Dunstable Hospital, +44(0)1582-497376 (Fax/me) Eaton Bray,
>Lewsey Road, +44(0)1525-222849 (Home)
>DUNSTABLE,
>LUTON, LU4 0DZ.. +44(0)1525-222643 (Fax)
>Beds., LU6 2DT..
>>----- Original Message -----
>From: Dr.Horacio Velázquez <horaciov@netgate.com.uy>
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>
>Sent: Monday, February 07, 2000 5:12 PM
>Subject: Caso Clínico
>
>> Estimados colegas del foro:
>
