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Re: new caseFrom: Betsy Hyde (elishyde@connix.com)Thu May 25 12:29:30 2000
At 7:25 AM 5/25/00, Gail Waldby wrote: >I am not sure that you have excluded uterine rupture with your work-up. >Fluid throughout the abdomen could possibly be blood, although I guess, >the CT numbers should differentiate between ascites and blood. >Gail Waldby, MD Gail gets the prize. The hct continued to drop and she was taken to the main OR. Had 2L blood and clots in her peritoneal cavity, and a posterior uterine rupture that went from the fundus to the cervix. Now, except for a D&C many years ago, this woman had never had any instrumentation to her uterus. I guess we will never know whether she ruptured, and that caused the IUFD, or whether the rupture was due to the misoprostol. The symptoms of tachycardia and pain only began following her 2nd miso dose.
-- Betsy Hyde CNM Branford, CT
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