Re: Abruptio placenta and ultrasound diagnosis
From: art fougner, md (evsono@pipeline.com)
Wed Jan 12 14:43:04 2005
prostaglandins?
art
At Wed, 12 Jan 2005, James Smeltzer wrote:
>
>Abruption is unpredictable and such a catastrophic abruption usually has
>symptoms the triad of unremitting pain, hard uterus and vaginal
>bleeding. At times it is silent, as in this case, for reasons that are
>beyond me. There is a recurrence risk. Am unaware of association with
>diarrhea. Cramping pain related to uterus could be obscured by
>diarrhea.
>
>JSS
>
>--
>James S. Smeltzer, MD, FACOG, SMFM
>Consultant, Maternal Fetal Medicine
>Wellstar Physicians' Group
>Northwest Women's Care
>787 Campbell Hill St
>Marietta GA 30060
>James.Smeltzer@wellstar.org
>VM 678-290-3035
>Off 770-528-0260
>Page 404-318-3451
>
>>>> rlimos@gmail.com 1/11/2005 6:51:15 AM >>>
>
>I had a service patient who had a routine obstectric scan about 6 days
>ago and everything was normal and came to the hospital yesterday for
>bouts of diarrhea. The resident obstetrician checked the baby for
>fetal well being and the baby had fetal bradycardia. On emergency
>c-section they found out that there was an abruption placenta of about
>50%. The APGAR Score of the baby was 0 and presently on ventilator.
>
>My question is did I miss the abruptio or the diarrhea precipitated
>this event? I am trying to retrieve the films we took from the patient
>for review as we routinely take pictures of the placenta.
>
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--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
