Re: Gyn: tough menorrhagia case

From: D. Ashley Hill (dahmd@cfl.rr.com)
Wed Aug 11 21:33:33 2004


Art- I read a report about AVM and profuse bleeding, but I have never diagnosed one of these. MRA? Straight arteriogram? Thanks for your thoughts.

Ashley

At Wed, 11 Aug 2004, art fougner, md wrote: >
>has an AVM been ruled out?
>
>art
>
>At Tue, 10 Aug 2004, D. Ashley Hill wrote:
>>
>>Good call. However, I checked a PFA (platelet function analysis) and
>>other tests for coagulopathies, but all were negative. Her transfusion
>>was done elsewhere, but the patient tells me she was dizzy and extremely
>>fatigued. Thanks for your comments.
>>
>>Ashley
>>
>>At Tue, 10 Aug 2004, GIN11153@aol.com wrote:
>>>
>>>Dr. Hill,
>>>
>>>Not having gone to med school but being an OB/GYN nurse practitioner
>>>student, is bleeding to this extent normal, needing a transfusion for a 6.8 HgB? Is
>>>it possible that she has an underlying clotting problem or an
>>>oversensitivity ot any ibuprofen/ASA usage?
>>>
>>>Gail Neuman RNC CPHW SNP
>>>Perinatal education
>>>Perinatal Nurse Associates
>>>Tustin, CA
>>
>>--
>>D. Ashley Hill, MD
>>Associate Director
>>Department of Obstetrics and Gynecology
>>Florida Hospital Family Practice Residency
>>Orlando, Florida
>>
>--
>art fougner, md
>ich bin ein New Yorker
>

--
D. Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, Florida




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