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Re: Hospital admissions for obstetric patientsFrom: DoctorJoe@aol.comSat Oct 28 09:58:34 2006
In a message dated 10/28/06 12:54:13 AM, islesannie@yahoo.com writes:
> All this brings to mind a patient I had as a chief resident on the OB It also works for GYN. When I was a resident (maybe even a student), there was a woman bouncing around the ER with abdominal pain and fever, as I recall, whom nobody "wanted." Medicine and surgery both declared that "it must be PID." Pretty typical. Well, the chief resident in OB-GYN, being the gentleman and physician that he was, admitted the lady under "r/o PID" or some such Dx, and she was treated with hydration, antibiotics, etc. However, when things started to "go south" that night, they decided she at the very least had a ruptured TOA. So we went to the OR with this "r/o PID -- poss. rupt. TOA" patient and opened her up. And found soap. We had to call the surgery resident and his staff, who were not in the hospital and had to come over from the VA, to handle this woman with hemorrhagic pancreatitis whom nobody wanted to admit but us. Joe P.
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