Re: Problem solving.

From: art fougner, md (evsono@pipeline.com)
Sun Sep 24 08:22:41 2000


Refer this patient to the nearest University Center for immediate evaluation.

art

At Sat, 23 Sep 2000, cthouse@healthnet.org.np wrote: >
>Dear all,
>I have a patient of 20yrs primi(thin built) with breech presentation at 35
>weeks of gestation.Clinically foetal weight is estimated to be 3.2kg. Her
>USG report shows:
>*A cystic mass of 8.2x6.6x7.5 cms in the foetal abdomen superior to the
>urinary bladder.Communication between the cystic mass and the bladder is
>not fully established.Foetal kidneys were echogenic and
>hydronephrotic.Fotal thorax,abdomen,spine and limbs appeared normal.
>*Gross oligohydramnios.
>*posterior placentation.
>Please suggest me what else investigation should i do on her and what
>should be the mode of delivery for her.
>Dr.Chanda Karki.

--
art fougner, md

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





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