dr in trouble
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file is attached
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| Dr_kholioo
Forum Junior
Topics: 9
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i'll go for D
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| vanshita
Forum Guru
Topics: 31
Posts: 933
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deep vein thrombosis
hyper coaguble state of pregnancy
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| babydoc4usmle
Forum Guru
Topics: 18
Posts: 631
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hypergoagulable state looks like precipitating event, but Pt gave birth and now she is not pregnant any more, and symptoms are local --> must be thrombus, D looks more attractive to me
please correct me in my reasoning if i am wrong
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| Aashi
Forum Moderator
Topics: 114
Posts: 1,062
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This is a classic case of purpueral thromboplebitis( or phlegmasia alba dolens--milk leg) + Homan sign positive + calf pain+ not ambulating after delivery---->DVT
Hypercoagulable state of pregnancy, doesnt get reversed immediately after delivery,It takes almost 4 weeks for the incidence of T.E to decrease, and thatz y we dont give combination pills or estrogen alone OCP, for just postpartum NONLACTATING ladies..coz the chances for them to go into T.E is high..and that is the reason Porgestin only pills are given to those nonlactating/LACTATING females rt after the day of discharge from the hospital, as its the estogen who is the culprit behind T.E and not progestrone.
And such cases shld NOT be missed, as PUL.embolism is the MCC of maternal mortality in USA.
So I go for DVT--->A--->as it is common 3 days after P.partum
Refer kaplan Ob gyne for details..
GL
Edited by Aashi on 03/09/07 - 06:49 AM
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| babydoc4usmle
Forum Guru
Topics: 18
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thanks, Aashi for great explanation
GL 2u2
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| robin082006
Forum Hero
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DVT---->-A
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