Re: Interesting case

From: Bernard Cristalli (bcrist@club-internet.fr)
Sat Aug 7 13:58:22 2004


> CE MESSAGE EST AU FORMAT MIME. Comme votre lecteur de courrier ne comprend pas
ce format, il se peut que tout ou partie de ce message soit illisible.

A cerebral CT scan.

--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8

De : "Lynn D. Montgomery, M.D." <apgar10@montanadsl.net>

...

That evening, she was sitting in a chair (despite supposedly being at bedrest), caught her IV on something, pulled it out, saw the blood, passed out, striking her head on the floor. She had a pretty significant hematoma on her forehead, but otherwise appeared normal - being completely awake, alert and orientated. 30 minutes later, I was called because she was having a "seizure". I arrived just following the completion of this event to find the patient again completely awake, alert, orientated and not post-ictal at all. She had not been incontinent during the event, despite needing to void a large amount about 10 minutes later. More fascinating though was the fact that she had been on the fetal monitor going into and coming out of the event. The fetal heart tones were in the 120's going into the event and 120's coming out of the event - no deceleration or compensatory recovery tachycardia noted in association with the event. Repeat laboratory studies revealed everything unchanged except the AST was improved, electrolytes completely normal. CT scan was normal. Ultrasound of the baby revealed an AGA fetus with normal fluid, normal cord flow and normal BPP.

Now what?





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