-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Abdominal pain From: Ricardo Savaris (savaris@orion.ufrgs.br) Sat Dec 13 05:52:43 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby, MD: "Intractable bleeding" Previous message: Robert Radnich: "Re: test3 delete" Maybe in reply to: Ricardo Savaris: "Abdominal pain" Next in thread: rbraun@iupui.edu: "Re: Abdominal pain" Reply: rbraun@iupui.edu: "Re: Abdominal pain" Reply: art fougner, md: "Re: Intractable bleeding" > Date: Fri, 12 Dec 1997 11:13:45 -0600 (CST) > From: cgharsha@stvincent.org (Cathy Harsha MD) > To: OB-GYN-L@OBGYN.net > Subject: Re: Abdominal pain > Message-ID: <199712121713.LAA28801@talk.obgyn.net> > > At Thu, 11 Dec 1997, Ricardo Savaris wrote: > > > >Hi listers, > > > >Yesterday afternoon, a patient came into my office fro an emergency > >consultation (I really dont like this emergencies, I am at my office and I > >cannot provide much help there, and most of the times she ends up at the > >E.R.), but here is the case: > > > >32 y-old, gesta 3 para 2 , 1 abortion, started yesterday morning with > >intense colic pain starting on her back and goes to the front. The pain > >moved, afterwords to the supra pubic region. The pain is like labour pain, > >no relief position, last for few minutes and disapear. At the same time she > >started with an abnormal uterine bleeding, not intense. No use of drugs or > >fever. Her menses are regular 28 days cicles, 7 days of menses. > >LMP: November, 20th no contraceptive method since quimioterapy > >Medical past history: Breast cancer 6 years ago, sectorectomy + radioterapy > >+ quimioterapy. > >No history of urinary stones > > > >On the physical exam: > > > >No tenderness on her back. > >Abdominal defense, and rebound tenderness. > >Vaginal examination: pain in uterine mobilization, no adnexial pain, uterus > >in normal size. After the exam she started with the pain. > > > >Ordered FBC, Urine analisis and Sedimentaion Rate (I sent her to E.R.) > >FBC: Hb 13 Leucocytes: 4.800 > >Urine analisys: all in normal range, 1-2 leuc/field, no bacteria, 1 blood > >cell/field > > > >At the E.R. they asked for a pregnancy test and discharge to home. No > >chance for nephrolithiasis. She is still with this ciclic pain. I saw this patient yesterday, her pregnancy test was negative. She says that her pain almost disapear after the stop of the bleeding. I examined her again. She still has pain on the vaginal examination, but it is all over, mainly over the rectum. She said that she has dispareunia. I started to think about endometriosis, but before scope her I asked the US transvaginal. If it is normal, I have intention to scope her. What do you think? -- Ricardo Savaris, MD, MSc, TEGO Porto Alegre, Brazil savaris@orion.ufrgs.br 55 51 3301354 Next message: Gail Waldby, MD: "Intractable bleeding" Previous message: Robert Radnich: "Re: test3 delete" Maybe in reply to: Ricardo Savaris: "Abdominal pain" Next in thread: rbraun@iupui.edu: "Re: Abdominal pain" Reply: rbraun@iupui.edu: "Re: Abdominal pain" Reply: art fougner, md: "Re: Intractable bleeding"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:22:31 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.