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Choroid Plexus Cysts - Again!
The following comment was left on my last post in which we responded to a patient's concern that she should have an amniocentesis done because her baby might have a chromosomal abnormality due to her age alone risk despite the fact that she also h...
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Management of an Rh-Isoimmunized Pregnancy
In my last three posts we have set the groundwork for understanding complications related to maternal Rh-isoimmunization and fetal Rh-disease. Now let’s use a real-live patient to focus our discussion on the medical management of this condition…W...
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The Happy Hospitalist Hosts Grand Rounds 4.37
Thanks to The Happy Hospitalist for the effort and the humor put into this week's rendition of Grand Rounds. I am thankful and quite grateful that he chose to include my recent post on "Teen Pregnancy: We ARE Failing Our Children."As pointed out ...
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Thanks MedHelp for an Awesome Grand Rounds Selection!
Many thanks to Enoch Choi, MD at MedHelp for a full-plate of nourishing offerings (gotta get into the Holiday spirit a little bit now that we've finally digested, though not worked off, Thanksgiving dinner) and a lot of hard work at this week's ed...
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Recurrent Early Pregnancy Loss - 2 - Hormonal Causes
To begin our discussion of actual causes of recurrent early pregnancy loss, let’s start with the one that is probably the most commonly touted, though still the least well-understood (and to me the MOST confusing) – HORMONAL CAUSES. Now, let me a...
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Group B Streptococcus (GBS) in Pregnancy: Hold the Vancomycin?
Group B Streptococcus (GBS) is a bacterium that colonizes the vagina and lower gastrointestinal tract in as many as one-third of all healthy reproductive age women. It is the leading cause of serious bacterial infection in newborns. Most babies ...
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A Case of Robertsonian Translocation and Turner Mosaicism
The reader below recently lost a pregnancy early in gestation. During the course of her work-up afterwards, she was found to have not only a balanced Robertsonian translocation of chromosomes 13;15, but a low level of mosaicism for Turner syndrom...
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Amniotic Fluid - 1 - The Basics
We have readers with a wide range of backgrounds and medical sophistication. One of the things I have tried to do on this site is to provide information which appeals to readers across this spectrum. In some instances, we have discussed very basi...
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Cruise - 2 - A Lesson in Group Therapy
The last day of the cruise was overcast, rainy, and cold. For those who had gotten too much sun already, that was probably a blessing! We were not in sight of land and the open water was rougher than it had been – out came the Dramamine. Anyway...
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Cervical Dysplasia and Cancer in Pregnancy - 3
It the last two posts we reviewed a discussion I had with a young woman who had misconceptions about the significance of an “abnormal Pap test” result early in her pregnancy. The point that was emphasized to her was the she did have genital warts ...