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Re: Intractable bleedingFrom: art fougner, md (evsono@pipeline.com)Sun Dec 14 08:21:19 1997
At Sat, 13 Dec 1997, Gail Waldby, MD wrote: > >Approximately 20 year old obese woman C-section 16 months ago and still >bleeding daily. Had D&C 1.5 months post C-section, had recent >hysteroscopy, D&C which just showed visibly disordered endometrium >(bleeding) and endometritis on Path. (Bleeding stopped for 3 days after >last D&C, then came back.) > >Has been tried on birth control pills and Provera, without improvement. > >What would you do next? > >-- >Gail Waldby, MD >Huron Clinic SD > two semi-zebras to consider - 1. trophoblastic disease - an HCG should resolve this one. 2. uterine artery a-v malformation - repeat sonogram with color doppler. hey, you never know. art
-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
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