-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: prolonged PP fever From: Betsy Hyde (elishyde@mindspring.com) Thu Aug 24 20:48:14 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Previous message: DoctorJoe@aol.com: "Re: prolonged PP fever" In reply to: R. Daniel Braun: "Re: prolonged PP fever" Next in thread: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Reply: Garry E. Siegel, M.D.: "Re: prolonged PP fever" thanks, Dan. It didn't show upon CT, though. How long should it take to defervese on heparin if SPT? I admit I have no clue re the utility of CT/MRI re diagnosing pelvic thrombophlebitis. How high do duplex ultrasounds of the venous tree go? -- Betsy Hyde CNM Branford, CT On Aug 24, 2006, at 9:31 PM, R. Daniel Braun wrote: > Sounds like Ovarian Vein Septic Thrombophlebitris. It should show > up on CT. Sometimes never respond to Abx, only to surgical removal > of ovarian vein. I had one patient who had a 15 cm in diameter > purulent ovarian vein on the right. We had to excise it all the way > to the IVC. > > Dan > > On 8/24/06, Betsy Hyde <elishyde@mindspring.com> wrote: > > G1P1 now s/p c/s for something or other in labor. Don't remember > what, and don't think it is relevant to the presentation. It wasn't > sepsis. > > Now 10 days post c/s and still spiking to 101.5. Blood cultures while > spiking are neg. EKG neg. No hx travel to tropical climates. > > Post op course includes normal CT scan, WBC never >11.9, courses of > triples (amp/gent/clinda and also amp/gent/metronidazole). > > Now on amp/gent/metronidazole/heparin x 36 hours and still spiking to > 101.5. No localizing signs. Patient feels fine. > > Today's plans include MRI. > > Thoughts??? > > How long does it take for septic thrombophlebitis to defervese on > heparin? > > Anything else we should consider? I raised the possibility of > valvular disease and vegetative emboli, but cultures during spikes > were neg, and EKG was neg as well. > > Drug fever??? > > (MFM is involved as well as the OBs in my practice..this is not a > midwifery management question...) > > Betsy Hyde CNM > Branford, CT > > -- > R. Daniel Braun > > "The way to health is an aromatic bath and scented massage > everyday". > Hippocrates Next message: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Previous message: DoctorJoe@aol.com: "Re: prolonged PP fever" In reply to: R. Daniel Braun: "Re: prolonged PP fever" Next in thread: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Reply: Garry E. Siegel, M.D.: "Re: prolonged PP fever"

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: Tue Sep 2 05:08:24 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.