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Re: TOA and HIV From: DoctorJoe@aol.com Fri Mar 26 12:46:33 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Steve & Eryl Raymond: "Re: Prophylactic antibiotics at csection" Previous message: Karen Lee: "Re: DVT risk" Maybe in reply to: Dr. Ainsworth: "TOA and HIV" Next in thread: Steve & Eryl Raymond: "Re: TOA and HIV" In a message dated 3/26/04 10:31:16, ainsron@sbcglobal.net writes: > She > is now still symptomatic with pelvic pain, decreased abdominal > tenderness, afebrile, WBC has come down from 26,000 on admission with a > marked left shift, now 14,400 with no bands.  Where would you go from > here? > 1- ultrasound or CT guided drainage of the mass > 2- OR for vaginal drainage of mass / colpotomy > 3- OR for Abdominal drainage of mass > 4- OR for TAH/BSO > > My feeling is that she is clinically stable enough at this time for > definitive surgical treatment and to approach it abdominally with plans > to back off and simply drain it if there is too much phlegmon to safely > remove it. > Why not keep treating, since she is responding, and see how small it can get before you decide to intervene? How's her HIV status (CD4, etc.)? Joe P. Next message: Steve & Eryl Raymond: "Re: Prophylactic antibiotics at csection" Previous message: Karen Lee: "Re: DVT risk" Maybe in reply to: Dr. Ainsworth: "TOA and HIV" Next in thread: Steve & Eryl Raymond: "Re: TOA and HIV"

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