-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: Pyometra From: R. Daniel Braun (rd.braun@gmail.com) Fri Nov 30 18:37:08 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: Pyometra" Previous message: R. Daniel Braun: "Re: GBS" In reply to: Efrain Ramirez: "Re: Pyometra" Next in thread: Raymond Stephen: "Re: Pyometra" Reply: Raymond Stephen: "Re: Pyometra" Reply: Efrain Ramirez: "Re: Pyometra" You need to rule out endocervical cancer!!!!!!!!!!!!!!!!! Pyometra is usually caused by obstruction to outflow through the cervix. Dan On Nov 30, 2007 7:53 PM, Efrain Ramirez <eramirezt@coqui.net> wrote: > Wait for path results > > Ef > > At Wed, 29 Jun 2005, Dr. Ainsworth wrote: > > > >I saw a pleasant 82 yo widowed-lady last week. She is not sexually > >active and was referred because of "recurrent vaginal spotting" over the > >past two years. No other complaints, in fact she didn't even feel she > >had a problem, takes no meds, no health problems. Her FP ordered a > >sonogram before I saw her that showed fluid within the endometrial > >cavity and possibly a 12mm polyp. I suggested an endometrial biopsy > >which she reluctantly agreed to. When I introduced the pipelle, which > >slid in without resistance, much to my suprise, it filled quickly with > >purulent material. I replaced it with an explorer curette and the > >syringe filled with 8 cc of pus and was blood tinged. Pathology came > >back benign with mucopurelent material. The culture showed diphtheroids > >and enterococcus. I placed her on Doxycycline at the time of the > >biopsy, when the culture and sensitivity came back the only thing it was > >sensitive to was Vancomycin. My plan is to finish the current > >antibiotics and repeat the sonogram in a month. Does anyone feel that a > >hysteroscopy is necessary at this point? Any ideas on why she would > >present with this unusual finding? > > -- > "I can accept failure, but I can't accept not trying." - Michael Jordan > -- 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 Next message: Raymond Stephen: "Re: Pyometra" Previous message: R. Daniel Braun: "Re: GBS" In reply to: Efrain Ramirez: "Re: Pyometra" Next in thread: Raymond Stephen: "Re: Pyometra" Reply: Raymond Stephen: "Re: Pyometra" Reply: Efrain Ramirez: "Re: Pyometra"

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: Wed Jul 2 04:48:03 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.