Re: 2nd trimester bleed
From: rbraun@indyunix.iupui.edu
Thu Nov 14 06:03:12 1996
On Wed, 13 Nov 1996 rbraun@indyunix.iupui.edu wrote:
> 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...
> >
>
|
|
