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Re: Abdominal pain From: rbraun@iupui.edu Sun Dec 14 07:25:36 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Intractable bleeding" Previous message: rbraun@iupui.edu: "Re: Intractable bleeding" In reply to: Zach Newton: "Re: Abdominal pain" Next in thread: Marco A. Pelosi, III, MD: "GYN: Adenomyosis Dx vs Tx ( Was Re: Abdominal pain)" Reply: Marco A. Pelosi, III, MD: "GYN: Adenomyosis Dx vs Tx ( Was Re: Abdominal pain)" If she has adenomyosis, what will you see on laparoscopy ??????? R. Daniel Braun, MD FACOG On Sat, 13 Dec 1997, Zach Newton wrote: > Ricardo- > > Your series of posts has fallen on deaf ears, save Bernard. > > With hx of 7 day menses and now abnormal bleeding with pain plus > dyspareunia adenomyosis > is likely. Your consideration of adnexal torsion should be clarified > by TVUS. With the hx of breast ca, a CT scan would be helpful. No > mention is made of possible component of irritable bowel contributing. > For completeness, a current bone scan and biochemical profile are > justified. > > Regardless of above, if her clinical course since presentation is one of > continuing pain, I would go right to scope. > > Best bet with current info: adenomyosis. > Therapy: trial of depo-provera or GNRHa. > Continued morbidity: vaginal hysterectomy; perhaps LAVH for look-see. > > Zach Newton > Z. B. Newton, III, M.D. > Atlanta/Gyn > Next message: art fougner, md: "Re: Intractable bleeding" Previous message: rbraun@iupui.edu: "Re: Intractable bleeding" In reply to: Zach Newton: "Re: Abdominal pain" Next in thread: Marco A. Pelosi, III, MD: "GYN: Adenomyosis Dx vs Tx ( Was Re: Abdominal pain)" Reply: Marco A. Pelosi, III, MD: "GYN: Adenomyosis Dx vs Tx ( Was Re: Abdominal pain)"

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