![]() |
||||
|
||||
|
|
||||
Re: Follow up of the ascitis case and new oneFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Sep 22 15:03:53 2004
At Wed, 22 Sep 2004, Ricardo Savaris wrote: > >Dear all, > >The case with ascitis and cirrhosis is fine. We did not intervened >again. We just managed clinically with diurtics and the drainage is 0. >Good case to learn with, no ureter injuries. >But, here we are again with another case: > >A 40 years old, who has a metallic heart valve. Her husband has >vasectomy for 7 years. She is under anticoagulant INR: 2,4. >She was submitted to a surgery yesterday due to an ovarian hemorrhagic >cyst. She had a similar case before. Post op is fine, but I am >concerned about her ovulation and the potential of future bleeding. I >thought to give her Cerazette (desogestrel) or another progesterone only >pill (norethisterone) to prevent ovulation and the possibility of >bleeding. Nevertheless, desogestrel has an increased risk of >venoembolism and norethisterone does not prevent ovulation as good as >desogestrel. Any ideas how to managed it? > >-- >Ricardo Savaris, MD >Porto Alegre - Brasil > Minera Intrauterine device this , may not prevent ovualtion very well but at least her periods will be lite she may even have amenorrehea after a few months.
--
Take care, John
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:37:54 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.