|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Cytotec and hypotonic uterusFrom: Diane Petersen (peter261@gold.tc.umn.edu)Mon Apr 10 23:14:24 2000
> Any possibility of a placental abruption? That will present in a pretty > similar manner. > How did you diagnose amniotic fluid embolism? > > Rupak Ranjan Roy > MRCOG > The Kleihauer-Betke was sent immediately from the OR at delivery...it was negative. There was clear amniotic fluid in the uterus. There was no obvious placental separation and no clot present. The baby was not hypovolemic. The coagulopathy onset was sudden and not present at the start of the case. The consumption of clotting factors was massive. No autopsy was done ( :-) therefore, no tissue diagnosis was made. An attempt (x2) was made to place a Swan-Ganz but neck hematomas and the fact that the patient remained stable led to no further attempts at placement, though not sure if pulmonary aa fetal squames would have been found. The patient did not have pulmonary syptoms, suggesting that she had a "smaller" embolus and the clotting occured elsewhere, leading to the consumptive coagulopathy but not cardiopulmonary collapse/ARDS. This is one the "classic" presentations from what I have read on this topic.
-- Diane Petersen MD
|
|
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: Wed Dec 2 04:46:17 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.