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Re: PMB on coumadin From: Andrew Folley (agfolley@hotmail.com) Fri Apr 27 16:32:56 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Abortion? ... here we go again! Sheesh! -->ConLaw now!" Previous message: R. Daniel Braun: "Re: Methotrexate" In reply to: DoctorJoe@aol.com: "Re: PMB on coumadin" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: PMB on coumadin" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: PMB on coumadin" Reply: Henry Gregor: "Re: PMB on coumadin" Hank I think you are obligated to do the EMB. I would think you would have to cover her with some oral prophylactic antibiotics???? andy >From: DoctorJoe@aol.com >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: PMB on coumadin >Date: Fri, 27 Apr 2007 10:52:31 -0500 > >In a message dated 4/27/2007 10:47:09 A.M. Central Daylight Time, >henrygregor@yahoo.com writes: > >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 > >Just as a tangential thought: > >If she's got an appropriate mechanical valve, some of them have data to >support the NON-use of Coumadin nowadays. She may not fit the criteria, but >you >can get her to ask the cardiologist if she could be switched to >Aspirin/Plavix >or whatever as appropriate "anticoagulation." As I say, it may not be right >for her, but if she fits, it'd be a lot easier and safer than being on >Coumadin forever. > >Joe P. > _________________________________________________________________ Get a FREE Web site, company branded e-mail and more from Microsoft Office _________________________________________________________________ Live! http://clk.atdmt.com/MRT/go/mcrssaub0050001411mrt/direct/01/ Next message: Andrew Folley: "Re: Abortion? ... here we go again! Sheesh! -->ConLaw now!" Previous message: R. Daniel Braun: "Re: Methotrexate" In reply to: DoctorJoe@aol.com: "Re: PMB on coumadin" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: PMB on coumadin" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: PMB on coumadin" Reply: Henry Gregor: "Re: PMB on coumadin"

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