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PMB on coumadinFrom: Henry Gregor (henrygregor@yahoo.com)Fri Apr 27 10:46:19 2007
Listers A 53 yo, LMP 4 years ago, presents with two weeks plus heavy vaginal bleeding, w/o presyncopal sx's. She is on coumadin secondary to hx of mitral valve replacement. INR is 2.3, and pt is w/o petechiae, ecchymoses, or hx of epistaxis or bleeding gums, etc. PE is unremarkable, and a pap (neg hx abnl past ones) is pending. Sono with heterogenous endometrial stripe, at 7 mm. I am planning to do an endometrial pipelle sampling. Comments appreciated. Thanks Hank --------------------------------- Ahhh...imagining that irresistible "new car" smell? --------------------------------- Check outnew cars at Yahoo! Autos. -- ---------------------------------
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