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Re: 2nd trimester bleed From: rbraun@indyunix.iupui.edu Wed Nov 13 05:10:56 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@indyunix.iupui.edu: "Re: scalp sampling" Previous message: mborn: "Re: cervical stenosis" In reply to: Judith Kurokawa: "2nd trimester bleed" Next in thread: rbraun@indyunix.iupui.edu: "Re: 2nd trimester bleed" Reply: rbraun@indyunix.iupui.edu: "Re: 2nd trimester bleed" In order to diagnose abruption by US, it has to be a real big bad one. Usually you don't need US for those. Also remember ABRUPTION and PLACENTA PREVIA are THIRD trimester bleeding. A frequent (moreso than thought) cause of this kind of bleeding may well be placenta circumvallata, which by the way is frequently associated with and probably causes IUGR. @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R. Daniel Braun, MD FACOG "Money will buy you a fine dog Clinical Professor OB/GYN but only love will make it Indiana University School of Medicine wag its tail" Indianapolis, IN Richard "Kinky" OBGYN.net, International Rep. U.S. Friedman Kinky Friedman for President @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ On Tue, 12 Nov 1996, Judith Kurokawa wrote: > > I have a 24 y/o G3P1011 at nearly 20 wks gestation who came in today having > previously been seen by providers in another state - just moved here > recently. For the last month, she has had a scanty amt of red vag > discharge. Minimal to no cramping, active baby, feeling fine otherwise. > Had chlamydia in early preg and was treated, no TOC until we did one today. > Previous U/S not available, but woman states "they said everything looked > OK". Under lots of stress as is divorcing husband. No DAT use. > > PE shows FH at umbilicus, FHT at 140-150, cx bluish, clean and no > friability, wet prep and koh neg for clue cells, yeast. Chlam. cult, GC > cult done with results pending. After cleaning bloody mucus out of vagina, > watched a tiny ooze of pink from the tightly closed os. > > Am sending for another U/S this PM. If it shows no previa or abruption, > which I suspect it won't, what do you suppose the etiology of the bleeding > might be?? > > TIA > Jude Kurokawa, CNM > Wolf Point, MT, the last best place > > A coyote midwife sits by the hole and waits... > Next message: rbraun@indyunix.iupui.edu: "Re: scalp sampling" Previous message: mborn: "Re: cervical stenosis" In reply to: Judith Kurokawa: "2nd trimester bleed" Next in thread: rbraun@indyunix.iupui.edu: "Re: 2nd trimester bleed" Reply: rbraun@indyunix.iupui.edu: "Re: 2nd trimester bleed"

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