Lumpy
Female Reproductive System & Breast
0
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G2_F1.jpg"}},{"insert":"\n\n"},{"insert":"It is almost 4 o\u0027clock and you cannot help but glance at your watch every few minutes.\n\nYour mind keeps on fast forwarding to the awesome evening out you have planned ...\n\nYou are deeply immersed in your thoughts, when a lady walks into your room.\n\n\u0022Good afternoon, Doctor. I am Erika\u0022, she says, as she extends her hand.\n"}]}
1
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G2_F2.jpg"}},{"insert":"\n\n"},{"insert":"Erika is 29 years old, and the mother of a 4 year old boy. She hopes to have another child in the future.\n\nShe complains of heavy menstrual bleeding for the last 3 months. There is no history of intermenstrual or postcoital bleeding.\n\nHer menstrual cycles have been regular throughout, and she is not on any medications currently.\n\nThe examination reveals no abnormalities.\n"}]}
2
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G2_F3.jpg"}},{"insert":"\n\n"},{"insert":"You perform a pelvic ultrasound scan.\n\nThis reveals the presence of two fibroids in the fundus of the uterus: a subserosal pedunculated fibroid of 3.0 x 2.5 cm size, and an intramural fibroid 2.5 x 2.5 cm in size.\n\nHer complete blood count (CBC) is significant for a hemoglobin level of 10.5 mg\/dL (normal range: 11 - 18 mg\/dL)\n"}]}
3
{"ops":[{"insert":"How will you manage her?\n"}]}
1. Offer a myomectomy
2. Request uterine fibroid embolization
3. Prescribe hematinics, and advise her to complete her family soon
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