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Re: Post C-Section From: art fougner, md (evsono@pipeline.com) Wed Aug 26 09:50:14 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mary Shoup: "This Week In Chat" Previous message: James S Smeltzer MD: "Re: Post C-Section" In reply to: James S Smeltzer MD: "Re: Post C-Section" Amen, Jim. problem with the s/p section sonar is that what is pathology and what is normal hasn't been extensively worked out. therefore, most of the diagnosis and consequently management becomes mainly clinical. another great resident project, perhaps? i do have my fave case of the young new mom s/p C/S who was being evaluated by the housestaff for probable endomyometritis. her pelvic exam suggested a boggy uterus with a firm mass in the right upper quadrant of the abdomen. using the trusty L&D real-time, the firm upper abdominal mass turned out to be an involuting and well-contracted uterus. the supposed boggy uterus was a very large hematoma - which was promptly drained, thus resolving the problem. Art At Wed, 26 Aug 1998, James S Smeltzer MD wrote: > >Donna, > >I have too. The list of stuff is posted as my reply. The # of things you >can possibly see is many! JSS > >At 02:14 AM 8/26/1998 -0500, you wrote: >> >> I have had the experience of evaluating post C-section patients for a >>bladder >>flap hematoma within 24hrs-48 hrs post op as a complication. Anyone else?? >> >>Donna Kepple >> >>______________________________ Reply Separator >>_________________________________ >>______________________________ Reply Separator >>______________________________ Reply Separator >> >>Subject: Post C-Section >>Author: 75640.2506@compuserve.com (M Buchanan-DeLamar) at +INET >>Date: 8/4/98 5:02 PM >> >>Sonographer's and Ob/Gyn Doctors out there, >> >>I has a question but I may not have enough information to get a good >>answer. >> >>Last night I was on ultrasound call and at 9pm I was called in to do a exam >>on the uterus on an OB patient who had just had a C-Section. The reason I >>was given was to check the location or postion of the uterus??? Then when >>I got to the hospital and called L &D to get the name of the patient I was >>told "weren't you called back"....the exam was canceled.....the ob/gyn had >>found what she was looking for...the head ob nurse gives me lots more >>information and is more familiar with what we want to know for u/s exams. >>I didn't see the ob/gyn today to find out what was going on. In the past >>the few post c-section exams I have done have been several days or longer >>later looking for abcesses, fluid accumulations, or evaluate uterus for >>possible retained contents. Maybe I've just been lucky until now...all I >>could think of was what kind of difficulties I was going to run into to >>cause artifact, etc. >> >>What have any of you had to perform u/s exams for immediately after a >>c-section or what have any of you ob/gyns doctor's out there ordered one >>immediately post c-section for .....or was this just just some whelm to get >>me out . I got called out again later anyway for Radiology backup call due >>to a MVA so it wasn't meant for me to get much sleep last night. >> >>Mary Ann >> -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: Mary Shoup: "This Week In Chat" Previous message: James S Smeltzer MD: "Re: Post C-Section" In reply to: James S Smeltzer MD: "Re: Post C-Section"

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