Re: Postmenopausal bleeding S/P 2 D&C

From: art fougner, md (evsono@pipeline.com)
Fri Oct 8 08:06:17 1999


Why is this woman anemic?

Art

At Thu, 7 Oct 1999, J. Hellriegel wrote: >
>85 YO female with episodic postmenopausal bleeding.
>S/P D&C x 2; 1st, inactive endometrium, 2nd, insufficient tissue for Dx.
>Clinically a small normal uterus with normal cavity.
>Ultrasound: Normal adnexa, fluid (?) in uterus, uterus slightly enlarged
>for age of patient.
>Anemic (Hgb. 8.5).
>Plt, PT, PTT, bleeding time all normal.
>SOB negative for blood.
>Medical history: severe arthritis.
>
>What would be your gynecologic management?
> 1) Trial of hormonal therapy?
> 2) Hysterectomy?
> 3) Other?
>
>--
>John Hellriegel, Jr., MD, PhD
>

--
"Of course, that's just my opinion. I could be wrong."
-----Dennis Miller

art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com





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