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Re: Opinions please From: art fougner, md (evsono@pipeline.com) Sat Dec 16 11:51:25 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: Hx of distal fimbriectomy - any role for neosalpingostomy" Previous message: Dean Huffman: "Re: Holiday Cheer" In reply to: Efrain Ramirez: "Re: Anti D" Next in thread: Paul Prior MD: "Re: Opinions please" Reply: Paul Prior MD: "Re: Opinions please" and the cause for the hypoalbuminemia is? that seems very atypical for cholestasis. platelets ptt pt and fibrinogen - 24 hr urine for protein and creatinine. also would check her uric acid. nothing specific here but your instincts are good - trouble brewing. art At Fri, 15 Dec 2000, K Dew wrote: > >32 yr old G1 at 34 weeks, white, no prior medical problems, good health, no >nasty habits. > >Current meds, Prenatal vits, Zantac 150 mg 2-3 days per week prn >acidity/heartburn > >One week history of itching, no skin changes except for dryness which around >here this time of year not unusual, I told her to take benadryl 25mg every >6-8 if it got really bad, which initially helped. Itching cont'd > >today I saw her, BP 104/46, 1+ edema, brisk reflexes, abdominal exam benign, >no proteinuria, NST reactive (done primarily becaue she was having >occasional tightenings) > >labs: CompMetPanel normal except >Glc 136 >total protein 5.8 (5.2-8.4) >albumin 2.1 (3.4-5.0) >ast 43 (10-32 U/L) >alt 115 (10-59 U/L) >Alk Phos 425 (50-136 U/L)` > >CBC normal >U/A normal >Bili Normal > >I have her in for observation. Gave her a regular diet for supper. Caused >pain ("bad but not severe") in her mid back. Nothing on exam remotely >approaching CVA tenderness, RUQ tenderness to palpation or percussion. This >patient does not appear ill or in any distress. > >U/S of liver and gall bladder pending > >comments would be appreciated. > >Kevin > >Amylase normal -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Paul Prior MD: "Re: Hx of distal fimbriectomy - any role for neosalpingostomy" Previous message: Dean Huffman: "Re: Holiday Cheer" In reply to: Efrain Ramirez: "Re: Anti D" Next in thread: Paul Prior MD: "Re: Opinions please" Reply: Paul Prior MD: "Re: Opinions please"

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