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A 59-year-old woman comes to the clinic with headache, dyspnea on exertion and occasional palpitations (see lab reults).
Test Result Normal Values Hb 95
120-160 g/L MCV 68 Total iron binding capacity 28 11.6-31.3 umol/L Next stepAnonymous voting
- Urea breath test
- Stool occult blood
- CT-scan abdomen and pelvis
- Endoscopy and colonoscopy
👍 15❤ 3
..Anonymous voting
- A. Endometrial hyperplasia
- B. Uterine fibroid
- C Endometriosis
- D. Adenomyosis
💯 8❤ 3⚡ 1👍 1
A 50-year-old P2+3 patient known to be diabetic and hypertensive, presented to the clinic complaining of abnormal uterine bleeding for the last 8 months the menstrual period is regular every 30 days and lasts for 5 days, associated with blood clots and pain that is not relieved by simple analgesia. The patient had previously undergone myomectomy 12 years back and was known to have ail her pregnancies induced as she had PCOS. On examination, the uterus was not palpable but on pelvic examination revealed a normal sized uterus and a healthy looking cervix with no adnexal mass. BMI 40. Which of the following is the most likely explanation for this patient's presentation?
👌 5
..Anonymous voting
- A. Refrain from consuming fatty foods and a follow-up in 6 months.
- B. Conduct another ultrasound without delay.
- C. ACCK-HIDA scan should be conducted to assess for biliary dyskinesia.
- D. Laparoscopic cholecystectomy is recommended for acalculous cholecystitia.
👏 4💔 2👍 1❤ 1
A 29-year-old female patient presents with postprandial pain in the upper right quadrant of the abdomen and intolerance to fatty foods. The ultrasound examination does not show any presence of gallstones or sludge. The upper endoscopy results are unremarkable, and all of her liver function tests are within the normal range. Which of the following options represents the most optima management choice?
👍 3
Patient underwent total hysterectomy with bilateral oophorectomy what to give her?Anonymous voting
- Estrogen patch
- lUD
- OCP (Progesterone and estrogen)
- Progesterone only pills
👍 7👎 3❤ 2⚡ 1
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