Gynecologic Condition Case Study

Gynecologic Condition
Gynecologic Condition

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Overview of the case study

The case study of a 42 year of African American female during her routine gynecologic examination reports of bleeding between her periods for some months. She has three children, is sexually active with one partner.  Her examination indicates that she has irregular intrauterine mass, 4cm in diameter that is not painful on touch.

Diagnosis, treatment and management of the Gynecologic Condition

The patient is experiencing abnormal uterine bleeding due her history of pregnancy. Uterine bleeding is a common occurrence. When assessing patient with the common gynecologic conditions it is important to question the patient pregnancy status, her reproductive status to understand the source of bleeding (Lethaby et al, 2015).

Irregular intrauterine non-tender mass about 4 cm in diameter is a sign of abdominal or pelvic mass that can occur at any age. A woman experiencing intrauterine non- tender mass might complain of various symptoms, but there are a number of possible causes of pelvic mass. In evaluating the patient, the first step includes getting a good medical history of the patient regarding the pain, any family history of such similar problem and also knowing if the patient has regular periods or not or the history of pregnancy (Singh et al., 2013).

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Physical examination of the gynecologic conditions needs to include a palpation of the abdomen to detect a palpable mass, abdominal pain, and CVA tenderness. Pelvic exam needs determine cervix compression or uterine enlargement and also tenderness associated with vaginal lesion. Further examination can be done through ultrasound or CAT scan (Chaudhuri et al., 2014).

If the ultrasound suggests an abdominal mass the patient needs to seek for further advice from a gastroenterologist or general surgeon. Treatment for abdominal, uterine bleeding includes mediation like prostaglandin inhibitors (Kokaine et al, 2014). Surgery may be recommended or change in contraception. Some of the suggestion for managing abnormal uterine bleeding including taking iron supplements t and eating a balanced diet. Patients need to avoid drugs like aspirin that might contribute to excessive bleeding.

References

Chaudhuri, S., Datta, S., Paul, P. C., Mukherjee, S., & Malo, S. (2014). Cytologically Diagnosed Ovarian Carcinoma Turned Out To Be a Case of Chronic Ectopic Pregnancy. Journal of Interdisciplinary Histopathology, 2(2), 116-120

Kokaine, L., Lemanis, A., Sapovalovs, S., Abolins, A., & Balodis, A. (2014). Torsion of Arteriovenous Malformation–A Rare Case of Acute Abdomen. American Journal of Medical Case Reports, 2(11), 229-231.

Lethaby, A., Hussain, M., Rishworth, J. R., & Rees, M. C. (2015). Progesterone or progestogen‐releasing intrauterine systems for heavy menstrual bleeding. The Cochrane Library.

Singh, S., Best, C., Dunn, S., Leyland, N., Wolfman, W. L., Wolfman, W. & Marcoux, V. (2013). Abnormal uterine bleeding in pre-menopausal women. Journal of Obstetrics and Gynaecology Canada, 35(5), 473-475.

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