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Re: GYN: D&CFrom: dr. peterman (peterman@proteus.com)Sat Apr 15 10:24:20 2000
At Fri, 14 Apr 2000, Bernard Cristalli wrote: > >Dear List mates, >An express poll on your standards of care, we had the same discussion among >our group. > >Do you see every D&C before they are discharged > no > >Do you see every abortion before they are discharged > I don't perform abortions > >Do you perform in a regular basis an US scan after a D&C to assess the >uterus is empty? > no > >Do you perform in a regular basis an US scan after a D&C to be sure the >uterus is empty? > no > >What meaning do you give at a HCG rate < 1000 4 weeks after a D&C or an >abortion? >Pathological or Residual, but Other: would depend on how high the HCG was when I did the procedure. Half life should be about 24 hours. I might do an ultrasound in this patient. For example, is it a partial mole? > >What meaning do you give at an hemorrhage 4 weeks after a D&C or an >abortion? >Pathological! Hemorrhage (how do you define this) is not normal after a D&C. How many weeks was the gestation? > >What meaning do you give at the presence of decidua and chorial villosities >mixed with normal endometrium 1 month after a D&C or an abortion? >Pathological and Residual: this may happen more frequently that we realize, as a D&C very likely leaves some residual tissue behind, that can produce decreasing amounts of HCG as the tissue degrades and becomes necrotic. > >-- p.peterman
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