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Re: Pyometra From: Dr. Ainsworth (ainsron@sbcglobal.net) Wed Jun 29 21:29:57 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Peter Wein: "Re: Pyometra" Previous message: R. Daniel Braun: "Re: Pyometra" In reply to: R. Daniel Braun: "Re: Pyometra" Next in thread: art fougner, md: "Re: Pyometra" Reply: art fougner, md: "Re: Pyometra" Her FP did a pap two weeks ago that was normal, there are no visible lesions on her cervix and the pathology on her endometrial sampling was negative. It does concern me a little that a possible polyp was seen on her ultrasound - it was basically a sonohysterogram minus the saline because the cavity was distended with pus. Does pus make as good a distention agent as saline? I can always resample her when I repeat the sonogram in a month. >One of the more common causes is Cervical Cancer. Another is endometrial >cancer > >On 6/29/05, Dr. Ainsworth <ainsron@sbcglobal.net> wrote: >> >> I saw a pleasant 82 yo widowed-lady last week. She is not sexually >> active and was referred because of "recurrent vaginal spotting" over the >> past two years. No other complaints, in fact she didn't even feel she >> had a problem, takes no meds, no health problems. Her FP ordered a >> sonogram before I saw her that showed fluid within the endometrial >> cavity and possibly a 12mm polyp. I suggested an endometrial biopsy >> which she reluctantly agreed to. When I introduced the pipelle, which >> slid in without resistance, much to my suprise, it filled quickly with >> purulent material. I replaced it with an explorer curette and the >> syringe filled with 8 cc of pus and was blood tinged. Pathology came >> back benign with mucopurelent material. The culture showed diphtheroids >> and enterococcus. I placed her on Doxycycline at the time of the >> biopsy, when the culture and sensitivity came back the only thing it was >> sensitive to was Vancomycin. My plan is to finish the current >> antibiotics and repeat the sonogram in a month. Does anyone feel that a >> hysteroscopy is necessary at this point? Any ideas on why she would >> present with this unusual finding? >> >-- >R. Daniel Braun >Kinky for Governor > Next message: Peter Wein: "Re: Pyometra" Previous message: R. Daniel Braun: "Re: Pyometra" In reply to: R. Daniel Braun: "Re: Pyometra" Next in thread: art fougner, md: "Re: Pyometra" Reply: art fougner, md: "Re: Pyometra"

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