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Re: 2 NEW INTERESTING CASESFrom: DoctorJoe@aol.comFri Oct 27 18:22:36 2000
In a message dated 10/27/00 4:25:54 PM, Len2976@aol.com writes: << #1--32 y/o G5, P3 (C/S x 3); now 32 weeks gestation, presented to L & D with c/o "bleeding gums, nosebleeds, discoloration of legs:" ; no history of bleeding disorder; no other discomforts, no hypertension, U/S WNL, no vaginal bleeding or abdominal pain. Platlet count--10,000 (was 230,00 at 28 weeks). #2--21 y/o G4, P2; now 19.5 weeks; h/o LEEP--U/S at 10 weeks--cervical length 3.7 cm. U/S this week--AFI of 1.9; fetal kidneys appear normal--fluid seen in bladder; Pelvic exam--neg nitrazine, fern, pooling; + fetal movements, AFP--WNL >> #1: Got steroids? It this ITP, absent any other indices of HELLP? #2: Hydration and bedrest for a short period of time and see if things get better? Any history of working hard, standing all day, etc, etc? Joe P.
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