USMLE Forum Archives - USMLE Step 3 - CCS - Post Menopausal Bleeding
CCS - Post Menopausal Bleeding
meduploader - 01-02-09 13:20
Cbc, Cmp,Pt/ptt, Blood group and cross match
Serum tsh,Serum estrogen,Serum lh,Serum fsh
Abdominal usg
Pap test, Cervical culture
If the hb level Normal dietTransfusion of prbc 2 unit
When the usg shows endometrial hyperplasia...:Order:-HysteroscopyEndometrial biopsy
If the biopsy result shows - endometrial hyperplasia with no atypia: Order:-Premarin po Iron sulfate, po-Rated sex
If biopsy shows atypia:-----Consult obg----Hyterectomy
meduploader - 01-02-09 13:20
Cbc, Cmp,Pt/ptt, Blood group and cross match
Serum tsh,Serum estrogen,Serum lh,Serum fsh
Abdominal usg
Pap test, Cervical culture
If the hb level Normal dietTransfusion of prbc 2 unit
When the usg shows endometrial hyperplasia...:Order:-HysteroscopyEndometrial biopsy
If the biopsy result shows - endometrial hyperplasia with no atypia: Order:-Premarin po Iron sulfate, po-Rated sex
If biopsy shows atypia:-----Consult obg----Hyterectomy
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#1
Re: CCS - Post Menopausal Bleeding bingousmle - 06-18-10 08:25 since this can be a case of carcinoma as well do we initially treat the patient as a office case or should we admit the patient from the beginning ?
#2
Re: CCS - Post Menopausal Bleeding babbu5508 - 06-18-10 14:54 Postmenopausal bleeding - Recurrence of bleeding in a menopausal woman at least 6 months to 1 year after cessation of cycles..work up should be directed toward finding a carcinoma..
#3
Re: CCS - Post Menopausal Bleeding bingousmle - 06-18-10 14:59 You are correct it is imperative to start up a investigation to r/o carcinoma in a patient with post menopausal bleed. In CCS we are supposed to manage a patient from the beginning till end through a Computer simulated software, where we have to decide the appropriate location as well... Adonis waiting for your opinion...
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