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Re: Opinions please! From: art fougner, md (evsono@pipeline.com) Mon Feb 28 08:33:52 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: how to get a baby on time" Previous message: Luis Sanchez-Ramos: "Re: hypocalciuria in hipertensive disorders" In reply to: Luis Sanchez-Ramos, MD: "Opinions please!" Rogers Rule - "gotta know when to hold 'em, gotta know when to fold 'em." to quote the old Dunkin Donuts advert - "Time to make the donuts!" delivery would seem the prudent course of action. Art At Sat, 26 Feb 2000, Luis Sanchez-Ramos, MD wrote: > >A colleague (MFM) left me the following patient for the week-end: >24 y/o b/f G31011 at 27 weeks' gestation based on a scan performed 6 >days ago (late entry prenatal care). Previous child weighed 2240 g at >"term". The current pregnancy is complicated by the following: marked >oligohydramnios (unresponsive to aggressive IV hydration). On >ultrasound: both kidneys and bladder visualized. Dilated loops of >bowel; rest of anatomy not well-delineated due to oligohydramnios. >Doppler velocimetry showed (AEDV) absent end diatolic velocity. Fetus >is presenting as footling breech and EFW is 1008 grams. Biophysical >profile has been 6/10 (no breathing movements or reactive NST). EFM >shows several variable decelerations (mild to moderate for the most >part). Patient refers "good fetal activity". My partner attempted >transabdominal amnioinfusion but was unsuccessful. The patietn has >received two doses of betamethasone (1 course). There was some >suspicion of preeclampsia with very mild elevation of systolic blood >pressure. Normal labs except for elevated LDH (408 -> 261). >any recommendations?? Thanks. > >-- >Luis Sanchez-Ramos, MD > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: how to get a baby on time" Previous message: Luis Sanchez-Ramos: "Re: hypocalciuria in hipertensive disorders" In reply to: Luis Sanchez-Ramos, MD: "Opinions please!"

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