Re: perplexing clear fluid
From: Charlie Chambers (cchamber@gorge.net)
Wed Jan 7 17:26:06 2004
I'm sorry Olin, but have you posted to this forum before, and what are
your professional credentials. Sorry if I should already know this
info.
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Charlie Chambers
--
Hood River, OR
cchamber@alumni.rice.edu
"No matter where you go...
there you are."
Dr. Buckaroo Banzai
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On Jan 7, 2004, at 3:54 PM, Olin Murphy wrote:
> A patient complains of the onset of vulvar inflammation six months ago
> following a viral syndrome that she was significantly ill from. This
> inflammation was accompanied by stinging, tingling, lympth node
> swelling, and urinary pressure. The cervix was friable and this
> inflammatory process progressed posteriorly involving the anus.
> Symptoms
> changed with some resolution of the vulvar sensitivity although she
> still has some irritation with the onset of suprapubic pressure which
> has been constant and has become more distressing the last two months.
> Night sweats, malaise and fatigue are also constant. She has noticed a
> correlation to change in bowel movements, pale stools, bloating with
> the
> onset of this discomfort and particularly two months ago when she
> presented with a colon infection, lasting five days. Temps have been
> up
> to 101 fahrenheit and she states that "exertion brings on the pain and
> fevers." Menstrual periods consist of three days of "thick mucus"
> bleeding followed by two days of clear fluid that is being expelled
> from
> the uterus. This clear liquid has recently increased in abundance and
> there is no particular odor associated with it. She states that the
> pelvic pressure is greatly reduced following her menstrual period.
> Past
> surgical history, myomectomy, 10 years ago, endometrial cryo ablation,
> six years ago. Multiple fiboids still exist. Numerous cultures taken
> showed a negative KOH prep. gonorrhea, chlamydia PCR was negative and
> vaginal cultures showed heavy E. coli. Doxycycline has offered relief
> from the pelvic pressure but has little effect on the inflammation. I
> will be grateful if someone can share their views with me.
>
> Sincerely,
> Olin Murphy
>
