Re: Pyometra
From: R. Daniel Braun (rd.braun@gmail.com)
Fri Nov 30 21:13:41 2007
Obviously, I missed that.
Hey Ron,
What did happen with this lady??
Dan
On Nov 30, 2007 9:17 PM, Raymond Stephen <Stephen.Raymond@dhhs.tas.gov.au>
wrote:
> Irrelevant now as this was first posted in 2005.
>
> Steve
>
> ------------------------------
>
> ------------------------------
> *From:* ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] *On Behalf Of *R.
> ------------------------------
> Daniel Braun
> *Sent:* Saturday, 1 December 2007 12:40 PM
> *To:* Multiple recipients of list OB-GYN-L
> *Subject:* 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
>
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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
