[醫如往常] Senior Clerkship Day 26: Ob/Gyn Grand Round: Cases

Grand Round: Cases

懷疑ectopic Pregnancy

D&C七次

沒送病理，沒刮到東西

病人很生氣要提告

------------

IUD for 40 years

Actinomycosis

Radiology, GS都不想處理

送給ID收住院

------------

Gastroschisis VS Omphalocele

	Gastroschisis	Omphalocele
Defect	Open	Membrane covered
Defect size	2-5 cm	2-15 cm
Umbilical cord	Left of defect	Center of membrane
Bowel	Inflamed	Normal
Alimentation	Delayed	Normal
Anomalies	10%	60%

Associations

Omphalocele	Gastroschisis
Cardiac Chromosomal Down’s syndrome Macrosomia GERD Cryptorchidism Musculoskeletal Neural tube defects	Intestinal atresia Small for gestational age Prematurity GERD Cryptorchidism

Ref.

http://www.sh.lsuhsc.edu/pediatrics/documents/Gastroschisis%20vs%20Omphalocele.pdf