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  1. #1
    usmle2005 is offline Newbie
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    Enlargement hematoma after episiotomy

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    You discovered a 10-cm enlarging hematoma adjacent to the episiotomy site in a patient whose baby you delivered 6 hours ago. The best management at this time is:

    A. A perineal pad and cold compresses
    B. removal of the sutures and clots, and reclosure
    C. hypogastric artery ligation
    D. needle aspiration of the hematoma

  2. #2
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
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    Re: Enlargement hematoma after episiotomy

    Quote Originally Posted by usmle2005
    You discovered a 10-cm enlarging hematoma adjacent to the episiotomy site in a patient whose baby you delivered 6 hours ago. The best management at this time is:

    A. A perineal pad and cold compresses
    B. removal of the sutures and clots, and reclosure
    C. hypogastric artery ligation
    D. needle aspiration of the hematoma
    My guess is B. Removal of the sutures and clots and reclosure

  3. #3
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
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    Re: Enlargement hematoma after episiotomy

    Quote Originally Posted by usmle2005
    You discovered a 10-cm enlarging hematoma adjacent to the episiotomy site in a patient whose baby you delivered 6 hours ago. The best management at this time is:

    A. A perineal pad and cold compresses
    B. removal of the sutures and clots, and reclosure ---this one
    C. hypogastric artery ligation
    D. needle aspiration of the hematoma

  4. #4
    kidoo is offline Newbie
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    hematoma

    b.

  5. #5
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    student-2 is offline Senior Member 510 points
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    B is the way to go!!!!!

  6. #6
    tami200 is offline Newbie 510 points
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    My Daughter Did Great In Delivery Except For A Small Tear, However An Hour Later She Was Screaming From Pain That We Learned Was A Hematomo! Her Left Labia Is Engorged With Blood 20 X Larger That The Right. How Long Will This Take To Heal?

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