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abdominal-pelvic masses From: Kelly Shanahan (mks@sierra.net) Tue Dec 31 15:05:21 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: KELLY SHANAHAN: "Re: PAP Smear after TAH" Previous message: Garry E. Siegel: "Re: New Series #1-Admission and NSVD of laboring patients" How about some input on this ER hit from last night: 23 yo G2P2 w/ 1 month h/o irregular heavy bleeding and 1 yr h/o vague RLQ pain, presents to ER w/ acute exacerbation of abd pain, worse now in the RUQ. Mild assoc n/v, 1 episode of diarrhea. H/o chole in past. H/o "borderline" HTN and diabetes. Has been checked in the clinic (it's after 5 so nobody's there) Exam: morbidly obese, moderate discomfort post analgesics no palpable masses abdominally or on pelvic (BUT, exam is definitely limited by obesity -- this is a BIG girl) transabdominal ultrasound ordered by ER doc shows several cystic structures. Rads says there is a 8cm cyst inferior to margin of liver and 2 4cm cysts in the lower abd/pelvis but he "doesn't think it's ovarian in nature". CT scan (no contrast d/t h/o anaphalactic rxn to seafood) confirms the above. Again the radiologist says he doesn't "think" these masses arise from the ovary. I look at the films and I'm not so sure that they don't, but i'm not a radiologist and these films are hard to read 'cause of the obesity (don't ask me why a transvag scan wasn't done as well). Any thoughts?? -- Thanks in advance, Kelly Shanahan private practice and I don't have a good feeling about this one Next message: KELLY SHANAHAN: "Re: PAP Smear after TAH" Previous message: Garry E. Siegel: "Re: New Series #1-Admission and NSVD of laboring patients"

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