Re: ultrasound diagnosis of abruption

From: art fougner, md (evsono@pipeline.com)
Thu Apr 5 08:27:26 2001


Efrain -

the problem with following suspected abruption is the sudden, unpredictable extention of same - which can have devastating consequences as we well know. also - two cases might make a series but hardly qualifies as evidence. often, god watches out for the fools. so again - ultrasound remains relatively insensitive in the diagnosis and management of abrution.

my opinion - i could be wrong.

art

At Wed, 4 Apr 2001, Efrain Ramirez wrote: >
>Comments?
>
> The use of ultrasound in the expectant management of abruptio
> placentae.
>
>Am J Obstet Gynecol 1983 Aug 15;146(8):924-7 (ISSN: 0002-9378)
>
>Rivera-Alsina ME; Saldana LR; Maklad N; Korp S
>
>The use of real-time ultrasound and antepartum nonstress testing in the
>management of abruptio placentae
>is discussed. In one patient, fetal distress developed when the
>retroplacental clot volume reached 480 ml.
>Two cases in which retroplacental clot was less than 480 ml were managed
>expectantly with the use of
>ultrasound and antepartum fetal testing, with excellent results.At Tue,
>3 Apr 2001, K Dew wrote:
>>
>>case from three years ago
>>
>>comments about the ability to diagnose subclinical abruption with (at the
>>time) a seven year old GE ultrasound without Doppler capability?
>>
>>Kevin Dew, MD
>>OB/GYN
>>Bardstown, KY
>
>--
>"Life is neither the notes nor the silence between the notes, but the music that
> arises out of sound and silence felt as a living whole. Stop choosing...between
> chaos and order, and live at the boundary between them, where rest and action
> move together..." David Whyte
>

--
art fougner, md

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





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