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Re: Omental Nodules on CT From: art fougner, md (evsono@pipeline.com) Tue Nov 25 09:38:51 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Omental Nodules on CT" Previous message: Meenan, Anna: "Re: ligasure" In reply to: allanho@aol.com: "Omental Nodules on CT" Next in thread: Efrain Ramirez: "Re: Omental Nodules on CT" Here I would actually get a CA125. Art At Mon, 24 Nov 2008, allanho@aol.com wrote: > >56 yo menopausal virgin admitted to the medicine service for right flank pain.? CT showed moderate ascites with a few small nodules on her omentum.? One of the nodules is near the tail of her pancreas.? Her ovaries were not enlarged.? Chemistry & CBC are all normal.? UA has 10-15 RBC and 1+ oxalate crystals.? History and Physical are otherwise unremarkable.? I think her right flank pain is from passing some non-obstructive renal stones.? She is scheduled to have a transvaginal ultrasound in the morning.? The internist is planning to do a paracentesis.? The neareast gyn oncologist is over two hours away.? > >What do you think of the following options? >1.? Diagnostic laparoscopy & biopsy if the paracentesis is non-diagnostic. >2.? Exploratory laparotomy with a general surgeon with BSO. >3.? Turf her to a gyn oncologist. > >Allan >Central Pennsylvania -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Efrain Ramirez: "Re: Omental Nodules on CT" Previous message: Meenan, Anna: "Re: ligasure" In reply to: allanho@aol.com: "Omental Nodules on CT" Next in thread: Efrain Ramirez: "Re: Omental Nodules on CT"

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