Re: New patient

From: art fougner, md (evsono@pipeline.com)
Wed Aug 23 12:15:25 2000


NOT a corpus luteum cyst; therefore,you need to make a definitive diagnosis. surgery is indicated here.

art

At Tue, 22 Aug 2000, Len2976@aol.com wrote: >
>I saw this patient for a new OB visit last week:
> 37 y/o w/f G1 approximately 13 weeks from LMP; pregnancy unplanned but
> "happy" surprise after many years of no contraception
> ---Abdominal exam difficulty secondary to moderate obesity but uterus
>palpated
> LGA; irregular mass on right side extending to RUQ; FHTs heard with
>doptone
> ---Pelvic exam--cyctic mass palpated posterior to cervix
>
> Initial impression: Uterine fibroids, Size/date disparity, right ovarian
>cyst
> U/S done 3 days later---
> IUP 14 weeks gestation; 10 cm fundal myoma; two 4-5 cm lower segment
> myomas; 16 cm complex ovarian mass--septated with solid components but
>no
> calcifications seen.
> Perinatal consult set up per the obstetrician I work with. Will give
>updates and
> appreciate comments.
>
>Lenora McCall, CNM

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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