USMLE Forum Archives - USMLE Step 3 - OBG: ulcerated, bleeding mass
OBG: ulcerated, bleeding mass
meduploader - 06-08-09 16:19 Bookmark and Share

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?






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#1
Re: OBG: ulcerated, bleeding mass
hugoyan2009 - 06-08-09 18:04

My answer is: b.

#2
Re: OBG: ulcerated, bleeding mass
sabiraghauri - 06-09-09 14:19

My answer is: a.

#3
Re: OBG: ulcerated, bleeding mass
shumayla - 06-10-09 12:49

My answer is: a.

#4
Re: OBG: ulcerated, bleeding mass
shahprasun - 06-10-09 17:19

My answer is: a.

#5
Re: OBG: ulcerated, bleeding mass
anasarca0101 - 06-11-09 00:12

My answer is: a.

#6
Re: OBG: ulcerated, bleeding mass
zorawar - 06-11-09 00:34

My answer is: a.

#7
Re: OBG: ulcerated, bleeding mass
mafrin - 06-15-09 09:23

My answer is: a.

#8
Re: OBG: ulcerated, bleeding mass
bingousmle - 06-15-09 09:58

My answer is: a.

#9
Re: OBG: ulcerated, bleeding mass
drbipinsingh - 06-16-09 09:29

My answer is: a.

#10
Re: OBG: ulcerated, bleeding mass
conym5 - 06-17-09 01:53

My answer is: a.

#11
Re: OBG: ulcerated, bleeding mass
fas148 - 07-21-09 12:13

My answer is: c.

#12
Re: OBG: ulcerated, bleeding mass
zkadhem - 07-21-09 12:15

My answer is: a.


Uterine prolapse!

#13
Re: OBG: ulcerated, bleeding mass
liyeeyunwin - 07-21-09 12:38

My answer is: d.

#14
Re: OBG: ulcerated, bleeding mass
docraj - 07-21-09 20:03

My answer is: b.

#15
Re: OBG: ulcerated, bleeding mass
rockhill - 07-21-09 22:10

My answer is: b.

#16
Re: OBG: ulcerated, bleeding mass
mtniharika - 09-14-09 13:21

My answer is: c.

#17
Re: OBG: ulcerated, bleeding mass
shahra - 03-01-10 23:55

My answer is: a.

#18
Re: OBG: ulcerated, bleeding mass
katamoto - 03-22-10 14:43

My answer is: a.

#19
Re: OBG: ulcerated, bleeding mass
residencyrace - 05-31-10 11:00

My answer is: d.

#20
Re: OBG: ulcerated, bleeding mass
bmnnbm - 08-02-10 17:03

My answer is: a.

#21
Re: OBG: ulcerated, bleeding mass
1811166 - 08-24-10 02:42

My answer is: a.

#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...

#23
Re: OBG: ulcerated, bleeding mass
farihaaltaf66 - 09-29-10 04:14

My answer is: e.

#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...

#25
Re: OBG: ulcerated, bleeding mass
fudge15019 - 10-05-10 12:14

My answer is: d.

#26
Re: OBG: ulcerated, bleeding mass
luckyhussain - 09-22-11 21:29

My answer is: a.

#27
Re: OBG: ulcerated, bleeding mass
draqeelhaider - 10-02-11 02:36

My answer is: a.

#28
Re: OBG: ulcerated, bleeding mass
baloch1234 - 10-21-11 18:22

My answer is: b.

#29
Re: OBG: ulcerated, bleeding mass
p2buro - 04-03-13 21:51

My answer is: a.

#30
Re: OBG: ulcerated, bleeding mass
vishious10 - 06-18-13 15:19

My answer is: d.

#31
Re: OBG: ulcerated, bleeding mass
jayaram - 08-25-13 02:53

My answer is: a.

#32
Re: OBG: ulcerated, bleeding mass
sudhababu - 11-18-13 08:43

My answer is: c.

#33
Re: OBG: ulcerated, bleeding mass
buro2bapi1 - 12-24-13 04:17

My answer is: a.

#34
Re: OBG: ulcerated, bleeding mass
pkshkk - 03-03-14 18:18

My answer is: d.

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