Re: Bicornuate versus Septate uterus

From: R. Daniel Braun (rd.braun@gmail.com)
Tue Sep 4 10:53:41 2007


OK, Renal US is just as good. Which is less expensive? i.e. makes less money for Art.

TIC

Dan

On 9/4/07, art fougner, md <evsono@pipeline.com> wrote: >
> Why IVP when a renal ultrasound will most certainly document the
> presence of both kidneys as well as the configuration of the renal
> pelvis?
>
> Art
>
> At Tue, 4 Sep 2007, R. Daniel Braun wrote:
> >
> >I agree with Steve, but you do need an IVP, if you didn't check the
> kidneys
> >while the belly was open.
> >
> >BTW, I quit counting at twenty, the number of times that I was the first
> to
> >diagnose a uterine anomaly at the time of REPEAT C/S. All but two of
> those,
> >the first C/S had been for Breech, The other guy just didn't pay any
> >attention to the uterus or else forgot to mention it.
> >
> >Dan
> >
> >On 9/4/07, Raymond Stephen <stephen.raymond@dhhs.tas.gov.au> wrote:
> >>
> >> Yes this is not a septate, or subseptate uterus, but bicornuate. What
> >> do you want the imaging for? You have already eyeballed it and seeing
> >> it on MRI would be of academic interest only.
> >>
> >> Steve
> >>
> >> -----Original Message-----
> >> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
> >> E. Siegel, M.D.
> >> Sent: Tuesday, 4 September 2007 12:07 PM
> >> To: Multiple recipients of list OB-GYN-L
> >> Subject: Gyn: Bicornuate versus Septate uterus
> >>
> >> Recently, I did a term breech section on one of our CNM patients who
> was
> >> noted at around 8 or 10 weeks to have a bicornuate uterus (new
> >> diagnosis).
> >>
> >> At surgery, she had a full septum, and the fundus had an indentation
> and
> >> two equal halves.
> >>
> >> I assume that this is bicornuate, as opposed to sepate, given the
> >> concavity on the external aspect of the fundus. . .correct?
> >>
> >> Anyway, would you simply image her with an MRI at 6 weeks? Does anyone
> >> have any experience with this? Also, and I don't mean to sound crappy,
> I
> >> wonder if this is a no-brainer for a radiologist who probably rarely
> >> sees MRIs for Mullerian abnormalities.
> >>
> >> Garry
> >>
> >> --
> >> Garry E. Siegel, M.D.
> >> Private Practice
> >> Roswell, GA
> >>
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> >--
> >R. Daniel Braun, MD FACOG(L) CMT
> >Professor Emeritus
> >Dept. of Obstetrics and Gynecology
> >Indiana U. School of Medicine
> >
> >R. Daniel Braun
> >
> > "Science without Religion is LAME; Religion without Science is
> BLIND"
> > Einstein 1941
> >
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





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