Re: Pyometra
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Nov 30 22:49:43 2007
Agree - wait and see..
Ef
At Fri, 30 Nov 2007, Dr Eberhard W Lisse wrote:
>
>This I would consider cancer until proven otherwise.
>
>el
>
>On Dec 1, 2007, at 02:53, Efrain Ramirez 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
>>
--
"I can accept failure, but I can't accept not trying." - Michael Jordan
