USMLE Forum Archives - USMLE Step 3 - gynaec 7
gynaec 7
conym5 - 07-15-09 19:51
A 52-year-old woman complains of recurrent episodes in
which she becomes extremely hot and diaphoretic. During these
episodes, she becomes anxious and feels like her heart is racing. Each
episode lasts approximately 5 min. The episodes are so intense that she
must put on the air conditioner or open a window until the episode
resolves. Hot weather and stress often precipitate the symptoms.
The episodes seem to be worse at night. The patient further states
that she has been amenorrheic for 12 mo and has recently begun
experiencing vaginal dryness and dyspareunia. Physical examination
is normal. Which of the following is the most likely diagnosis?
conym5 - 07-15-09 19:51
A 52-year-old woman complains of recurrent episodes in
which she becomes extremely hot and diaphoretic. During these
episodes, she becomes anxious and feels like her heart is racing. Each
episode lasts approximately 5 min. The episodes are so intense that she
must put on the air conditioner or open a window until the episode
resolves. Hot weather and stress often precipitate the symptoms.
The episodes seem to be worse at night. The patient further states
that she has been amenorrheic for 12 mo and has recently begun
experiencing vaginal dryness and dyspareunia. Physical examination
is normal. Which of the following is the most likely diagnosis?
The correct answer and explanation will be available after you answer.
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#4
Re: gynaec 7
conym5 - 07-16-09 09:32 The patient is presenting
with symptoms of normal menopause, which may include “hot flashes,â€
urinary frequency, dysuria, urinary incontinence, vaginal dryness, vaginal
itchiness, and dyspareunia. Patients also have amenorrhea. Patients may
become anxious or depressed during this time, but there is no evidence
that personality or mood changes are due to menopause.
#5
Re: gynaec 7 bingousmle - 07-16-09 09:48 hey conym you are doing a great job by giving us a good practise with your vignettes... its a humble request, would really be obliged if you can provide explanations along with the main thread.. would save a lot of time... thanks
#17
Re: gynaec 7 babbu5508 - 08-30-10 00:41 My answer is: b.
episodes of hot flashes and sweatingpalpitations,vaginal dryness and dyspareunia...estrogen deficency by menopause....
#20
Re: gynaec 7 babbu5508 - 09-30-10 07:33 During the perimenopause years, many women undergo noticeable and clinically observable physical changes resulting from hormonal fluctuations. The most well-known of these is the "hot flash" or "hot flush", a sudden temporary increase in body temperature.
#26
Re: gynaec 7 drnoor50 - 10-21-10 20:58 My answer is: b.
Hot flushes ,age and amenorrhoea suggets this
#41
Re: gynaec 7 drrita - 01-11-12 17:12 My answer is: b.
average age of menopause &shehas symptoms go in favour with menopause
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