USMLE Forum Archives - USMLE Step 3 - OBG: ulcerated, bleeding mass
OBG: ulcerated, bleeding mass
meduploader - 06-08-09 16:19
A 58-year-old Hispanic woman comes to the emergency department and complains of vaginal bleeding. She also describes a feeling of heaviness in her lower pelvic area. The sensation is worse in the evening and with prolonged standing, and is relieved by lying flat on her back. Her other medical problems include a history of osteoporosis, degenerative joint disease of both knees, and borderline hypertension. She denies any past history of smoking. She had three full-term vaginal deliveries at 30, 32, and 36 years of age. She had her menopause six years ago. On pelvic examination, you notice an ulcerated, bleeding mass at the introitus. The mass protrudes through the vaginal orifice upon bearing down. Which of the following is the most appropriate next step in the management of this patient?
meduploader - 06-08-09 16:19
A 58-year-old Hispanic woman comes to the emergency department and complains of vaginal bleeding. She also describes a feeling of heaviness in her lower pelvic area. The sensation is worse in the evening and with prolonged standing, and is relieved by lying flat on her back. Her other medical problems include a history of osteoporosis, degenerative joint disease of both knees, and borderline hypertension. She denies any past history of smoking. She had three full-term vaginal deliveries at 30, 32, and 36 years of age. She had her menopause six years ago. On pelvic examination, you notice an ulcerated, bleeding mass at the introitus. The mass protrudes through the vaginal orifice upon bearing down. Which of the following is the most appropriate next step in the management of this patient?
The correct answer and explanation will be available after you answer.
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#22
Re: OBG: ulcerated, bleeding mass babbu5508 - 08-29-10 01:58 My answer is: d.
ulcerated, bleeding mass at the introitus. The mass protrudes through the vaginal orifice upon bearing down...prolapse...
#24
Re: OBG: ulcerated, bleeding mass babbu5508 - 09-30-10 01:08 uterine prolapse with decubitus ulcer..treat the ulcer before planning any surgery on the patient..therefore the pessary...
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