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Re: Geriatric Patient From: Arthur W. Curtis, Jr. (artcurtis@juno.com) Wed Mar 19 23:10:20 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kurian Joseph M.D.: "Managing Conserved/ Retained Ovaries" Previous message: TTTSFound@aol.com: "Twin to Twin Transfusion Syndrome Foundation" Maybe in reply to: Richard Chudacoff, MD: "Geriatric Patient" Next in thread: Kelly Shanahan: "Re: Geriatric Patient" >Summary: >74 yo, 40+ years postmenopausal, never on HRT, 1 episode vaginal >spotting, fissure seen, ? fibroid posteriorly near cervix and no thickened >endometrium on US, way stenotic introitus precluding exam. > If you have a hysteroscope available in the office, the cervix and upper vagina should easily be visible. A biopsy should be easy also. Course, if something is there then what? At least there would be a diagnosis. I have used a laparoscope for excellent visualization of the vagina in a very young girl for a suspected foreign body, but that required hospital general anesthesia because of her age and apprehension. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Arthur Curtis, MD FACOG Worcester, MA ArtCurtis@Juno.com ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Next message: Kurian Joseph M.D.: "Managing Conserved/ Retained Ovaries" Previous message: TTTSFound@aol.com: "Twin to Twin Transfusion Syndrome Foundation" Maybe in reply to: Richard Chudacoff, MD: "Geriatric Patient" Next in thread: Kelly Shanahan: "Re: Geriatric Patient"

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