Re: new case-- Joe

From: art fougner, md (evsono@pipeline.com)
Tue Dec 3 06:45:19 2002


Joe -

why not? it's an easy enuff procedure to learn. however, would suggest not following an infertility patient with suspected polyps as there are endometrial receptivity issues. your alternative is hysteroscopy and if polyp confirmed, removal.

art

At Tue, 3 Dec 2002, DR. JOE ANTONY wrote: >
>Hi Dianne,
>Thanks for that info. Unfortunately, I donot perform sonohysterograms. Will follow the case over some time and let you know
>the observations.
>Joe,
>India
>

>>> ----- Original Message -----
> From: Dianne Walkup
> To: Multiple recipients of list ULTRASOUND
> Sent: Tuesday, December 03, 2002 3:23 AM
> Subject: Re: new case-- Joe
>
> Greetings, I have seen this same appearance in an odd case. The patient was a Sonographer, so we followed it for several menstrual cycles. The patient was having some irregular spotting and bleeding. We at first suspected that it was a retained clot. When the appearance didn't change over 3 cycles, we suspected a polyp. The patient then caught the flu, and during the course of that she bled very heavily, almost to the point of hemmorhage. Her subsequent exam showed a normal endometrium. I would assume that it was, in fact, a retained clot. A sonohysterogram would have given us the answer sooner, but it was prior to them becoming widely used.
>
> Dianne Walkup, RDMS, RDCS
> mitakuye oyasin

--
art fougner, md
ich bin ein New Yorker



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