Re: Gyn: tough menorrhagia case

From: Joanne Bulley, MD (islesannie@yahoo.com)
Thu Aug 12 18:10:09 2004


I did have a patient -- probabl;y in 1986 that had a hemangioma of the lower uterine segment - diagnosed by the pathologist after the hyst.

She had postmenopausal bleeding. D&C attempted - but there was NO opening at all in the cervix. Then she continued to bleed and had the hyst. I do not recall if an ultrasound showed a "collection" in the lower uterus or not -- too long ago!

Now I would do a small cone to find the os if Ihad one like this that I could not enter at all.

Joanne

At Wed, 11 Aug 2004, D. Ashley Hill wrote: >
>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
>

--
Joanne Bulley, MD
Keene, NH, USA

"Every gun that is made, every warship launched, every rocket fired, signifies in the final sense a theft from those who hunger and are not fed, those who are cold and are not clothed."

President Dwight D. Eisenhower April 16, 1953 http://costofwar.com/





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