This case of pyometra has been undre treatment for some time and, today i had a new ultra sound done to monitor progress.
The impression read as follows -
retroverted, retroflexed postmenopausal uterus.
size 6.80x4.48x3.29 cms in laevo position.
Echogenic thickened endometrium 11.2 mm
The patient is stable with a sturdy walk and no other problems. No discharge, no temperature, normal BP and urine frequencies.
Tretment further revised as follows -
1 Tid for 2 months followed by 1 Bid for 3 months.
2 Bid for 3 months followed by 1 Bid for 2 months.
repeat USG abdomen after 6 months following a 1 month period without medicines after 5 months.
Dr. Nitin Chaube
PREVIOUS STATUS OF THIS CASE AS UNDER -
Patient 65 / Female
Initial reports as suggested by Kins; after being brought from Jabalpur Medical college, following being refused for surgery since she is also asthmatic.
She was having persistent discharge very heavy which was reportedly putrefied and pyogenous, with the patient being very week and very limited hope.
PATIENT HAD NOT BEEN SEEN IN THIS CASE AND WAS REPORTED BY KINS TO BE SUFFERING FROM CANCER WITH NO HOPES AND REQUESTING ANYTHING IF I COULD DO.
I SUGGESTED WITHOUT SEEING THE PATIENT OR THE PAPERS ITS DIFFICULT YET IF THEY WANTED TO TRY THEY CAN TRY USING CAPS CARSONA FROM UNJHA AS 2 TID WITH SARIVADYARISTHA 30 ml WITH EQUAL DILUTION OF WATER AND B-COMPLEX SYRUP.
15 Days later the patient was reportedly able to sit and move around with volume of Discharge reduced.
The medicine was continued for another month at the same dose and i visited the patient. The patient was apparently very thankful and was moving around with freedom and highly reduced discharge. I was humbled when she bent down to touch my feet and in return i asked her not to instead sought her blessings by touching her feet.
I had then reduced the dose of *****NA TO 2 BID and added my Formulation of *******TE along with in the same dose.
The current status as of review on 04/12/2012 stated --
1) Physical movement very sturdy and fast.
2) Psychologically WNL and happy.
3) Discharge negligible and occassional.
4) FLUID in the USG was clear and did not appear pyogenic or haemogenic.
5) Size comparisons of the cavity could not be done as previous reports and papers were not at hand.
Dr. Nitin Chaube