A 50-year-old G3P3 woman comes to the office reporting heavy periods, spotting between menses, fatigue and weakness. Over the past six months, she has noticed a significant increase in the amount of her menstrual bleeding, currently requiring a box of 30 pads for each month. She has noticed an increase in the amount of blood clots and cramping pain during menses. Her previous history is significant for hypertension for 10 years, controlled with hydrochlorothiazide and a postpartum bilateral tubal ligation 20 years ago. She has no history of abnormal Pap tests and no sexually transmitted infections. Blood pressure is 138/84; pulse, 82; respirations, 20; weight, 220 pounds; height, 5 feet, 8 inches. On pelvic exam, uterus is approximately 10-week size. She is non- tender on bimanual exam and no adnexal masses are appreciated. A Pap test one month ago was normal, hematocrit is 29 and she is asymptomatic. What is the next best step in the management of this patient?

Answers

Answer 1

Answer:

Endometrial biopsy

Explanation:

Based on the information given about the 50 years old woman the next best step in the management of the woman is for her to undergo ENDOMETRIAL BIOPSY procedure reason been that with ENDOMETRIAL BIOPSY procedure the medical practitioner will take out a sample tissue of the lining of the woman uterus which is also known as endometrium so that the medical practitioner can evaluate the tissue and to check for cause of problems in the woman uterus which will help the medical practitioner to easily form the diagnosis or to diagnosed the cause of the woman bleeding problem.

Therefore the next best step in the management of this patient is to carried out ENDOMETRIAL BIOPSY procedure on her.


Related Questions

Can some one plzzzzz help me i need the answer

Answers

Answer:

A. perspiring when the body overheats

Explanation:

Homeostasis is the body's way of maintaining its health.

Sweating is what the body does on its own to maintain balance, so A is the best option here.

B, C, and D are results of exterior factors rather than actions the body takes.

perspiring when the body overheats

why health education is based on variety of subject​

Answers

Answer:

hhdhg

idrk

Explanation:

sjauwlsnxbzususu

Calories are:
A. a measure of heat energy in food
B. an important nutrient
C. found in Earths's crust

Answers

Explanation:

A. a measure of heat energy in food

Answer:

I'm going to say A)

Explanation:

A calorie is a unit of energy.

a) How deep does the ink have to go in order for the color to be permanent?

Answers

Answer:

1.5 to 2 millimeters

Explanation:

hope this is the answer ;w;

2. Which function of the skeleton allows us
to stand, sit and stay firm?

A. Skeleton gives much needed support

B. Skeleton protects internal organ

C. Skeleton allows body movement

D. Skeleton produces blood cells

Answers

C. Skeleton allows body movement

Why would guy text me everyday Hi

Is he trying to tell me something but he”s hiding it??!!

Answers

Answer:

Do you ever respond?

Explanation:

Maybe he keeps texting because you never respond

He probably gotta tell u sum but can’t so he’ll just text u hi. If he gains confidence he’ll prob say it sooner or later so if u wanna see what I’d suggest keep talking to him. Or it could be a prank (it’s happened to me before ) so don’t fall for him too much

I need some help with this

Answers

I think the answer is minerals but I’m not quite sure
The correct answer is Minerals.

How does resistance training prevent osteoporosis?

A.
It lowers the cholesterol levels in your blood, which causes your bones to become strong.
B.
It reduces your blood pressure, causing your bone density to increase.
C.
It increases bone mass, making your bones stronger and denser.
D.
It makes you feel hungry so you eat more calcium, which strengthens your bones.

Answers

Answer:

A It lowers the cholesterol levels in your blood, which causes your bones to become strong.

Explanation:

Resistance (strength) training prevents osteoporosis because it helps build strong bones which minimises the risk of fracture. This type of training uses free weights, stretchy bands, or your own body weight to build muscle and strengthen bones

C is the correct answer.

Resistance training and consistent exercise increases bone mass as well as bone density which in turn prevents osteoporosis.

What are your thoughts on drug addicts?

Answers

I think that they are people that take the wrong path in life to try and forget about something or maybe when they were young they wants to be cool or etc. As the other answer said, I feel sorry for them but we shouldn’t say of he/she/they was an idiot for taking the drugs. People always make mistakes in life, big or small. So we should try and help them be the better person he/she/they are

What is the safest amount of weight to loss per week?

Answers

Answer:

It's about a pound or 2 a week.

Explanation:

:)

Between 3 and 4 pounds a week is the safest but if you want a more risky weight loss number 7 pounds a week which can lead to blood sugar problems and brittle bones

8. LDLs carry cholesterol to the liver for degradation, and HDLs transport cholesterol to the body cells.
a. True
b. False

Answers

True !!!!!!!!!!!!!!!!!!

List the seven (7) organs that make up the Respiratory System.

Answers

Trachea
Lungs
Bronchus
Larynx
Bronchiole
Pharynx
Nasal cavity

PLEASEEE ANSWERR

I smoked weed on Monday and I have a blood test tomorrow for my thyroid will it show up on my blood test even though there not looking for it?

Answers

Answer:

It depends

Explanation:

It depends how much you smoked. It can stay in blood from 1- 30 days. That’s all I know .

What’s the meaning of life to you?

Answers

Answer:

Explanation:

I think the meaning of life is just to live free and to reach goals. Just think, Don't be afraid your life will end, be afraid that it will never begin. <3

What does the acronym TADRA stand for?

Answers

Answer:

Teenage and Adult Driver Responsibility Act for georgia

Explanation:

teenage and adult driver responsibility

White blood cells use __________ to help identify foreign substances in the body. A. platelets and white blood cells B. antibodies and antigens C. enzymes and red blood cells D. white blood cells and red blood cells White blood cells use __________ to help identify foreign substances in the body. A. platelets and white blood cells B. antibodies and antigens C. enzymes and red blood cells D. white blood cells and red blood cells

Answers

Answer:

b

Explanation:

White blood cells use antibodies and antigens to help identify foreign substances in the body.

What are antigens and antibodies?

An antibody is a Y-shaped protein that is secreted by specific types of white blood cells that have the ability to recognise pathogens (infectious agents) such as viruses and bacteria. An antibody is also known as immunoglobin, which is another name for the protein. The two ends of the "Y" are able to attach themselves to either the infected cell or the pathogen via a specific target that is referred to as the antigen (also known as the antibody generator).

In doing so, the antibody successfully marks the pathogen for neutralisation, which can be accomplished by either destroying the pathogen or preventing it from entering a healthy cell, or by signalling other complementary proteins to surround and consume the invader in a process known as phagocytosis.

Therefore, option (B) is correct answer.

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Tsunamis are disasters that cannot be prevented. However, after the tsunami in Indonesia in 2004, many island nations developed early warning systems to alert the people when the ocean tides were rising. This allows people to get to higher ground before the tsunami hits, decreasing the loss of life and devastation from a tsunami. This is an example of what?

A. Preparation
B. Response
C. Recovery
D. Mitigation

Answers

Answer: D. Mitigation

Explanation: What pops out to me in this question is "decreasing the loss of life and devastation from a tsunami." I thought it was A for a second but I remembered the definition of Mitigation. Mitigation means the action of reducing the severity, seriousness, or painfulness of something. This means that this was here to decrease the loss of people. If this answer so happens to be incorrect, A should be the correct answer. But here they are trying to reduce losing people therefore, D would be the correct answer.

Answer:

D.) Mitigation.

Explanation:

- The answer is D because Mitigation means to prevent something from happening, ad in the example they prevented the tsunami from destructing and/or harming anyone.

According to Maslow, physiological needs are at the base of the hierarchy of needs because...
1. physiological needs are the least important needs.
2. if physiological needs are met, an individual can skip the next level.
3. physiological needs are not the most important needs.
4. if physiological needs are not met, an individual cannot move to the next level.

Answers

Answer:

4

Explanation:

According to Maslow, physiological needs are at the base of the hierarchy of needs because if physiological needs are not met, an individual cannot move to the next level.

What is Maslow's hierarchy of needs?Physiological demands - air, food, drink, shelter, clothes, warmth, sex, and sleep are all biological necessities for human survival.Human body cannot function optimally if these demands are not met. Physiological needs are the most important, according to Maslow, because all other wants are secondary until these are addressed.

Safety needs - after a person's physiological demands are met, security and safety become more important. In their daily lives, people seek order, predictability, and control. These requirements can be met by the family and society (e.g. police, schools, business and medical care).

After physiological and safety requirements are met, the third level of human wants is social, which includes feelings of belonging.

Self-worth, accomplishment, and respect are among the fourth level of Maslow's hierarchy of needs. Maslow divided esteem needs into two categories: self-esteem (dignity, achievement, mastery, independence) and esteem for others (reputation or respect) (e.g., status, prestige).

Maslow's hierarchy's highest level, self-actualization needs, allude to a person's realization of potential, self-fulfillment, personal growth, and peak experiences. This level is defined by Maslow (1943) as the drive to achieve everything one can, to become the best one can be.

A neutral stimulus causes no response.
Please select the best answer from the choices provided
T
F

Answers

Answer:

Its true

Explanation:

Just took the test

A neutral stimulus cause no response but when combined with an unconditioned stimulus, induce learning, hence statement is true.

What is a neutral stimulus?

A neutral stimulus doesn't really initially elicit a specific response, but when combined with an unconditioned stimulus, it can effectively induce learning, eventually becoming a conditioned stimulus.

Yet, ringing a bell doesn't quite elicit the same response. As a result, the sound of a bell is a neutral stimulus. When paired with an unconditioned stimulus, a neutral stimulus becomes a conditioned stimulus.

After repeated exposures both to the neutral stimulus and the unconditioned stimulus, the neutral stimulus will begin to elicit a conditioned response.

Therefore combined with an unconditioned stimulus, can induce learning, hence neutral stimulus causes no response is a true statement.

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Organ that stores bile produced by the liver.
A. pancreas
B. stomach
C. gallbladder
D. rectum

Answers

Answer:

The answer is C, Gallbladder.

Explanation:

If this helped I would appreciate it if you marked me Brainliest. thank you and have a nice day!

According to the article, what are three ways to drink responsibly?

Answers

Answer:1. dont drink and drive 2. dont drink near water 3. dont drink around anything dangerous

Explanation:

Your symptoms are nausea, dizziness, vomiting, sweating, and increased salivation. Do an internet search to find out what may be the problem. In your answer you will diagnose the problem listing your two sources that agreed on the diagnosis and who runs the website.

Answers

Answer: Vertigo

Explanation:

Vertigo is caused by the fact that inner ear is not able to maintain the balance.  It occurs due to accumulation of calcium in the inner ear canals. The nausea, dizziness, sweating, vomiting, and increased salivation are the symptoms of vertigo. It can also be caused by the problems in certain parts of the brain.

A chain in the position of the body and small head movements can also make it worse.

What’s your favorite flavor?!

Answers

Answer:

Grass.

Explanation:

Answer: sweet is my favorite

Explanation:

James is sitting at his desk on the ground floor of an office building when the entire room starts shaking. Which action
is most appropriate in this situation?
1standing near a window
2running out of the building
3holding up a bookshelf
4preparing for aftershocks

Answers

Answer:

4

Explanation:

asides from hide under something sturdy everything else could get you killed. Especialy holding up a bookshelf. If it falls on you you could get hurt. Dont run out of the building thats  just common sense. Dont stand near a window you could get hurt of cut from broken glass.  

3. When the room starts shaking (earthquake) the appropriate action for James would be holding up a bookshelf.

What is an earthquake?

"An earthquake is what happens when two blocks of the earth suddenly slip past one another. The surface where they slip is called the fault or fault plane."

What are the main precautionary measures to be taken during an earthquake?

The main precautionary measures to be taken during an earthquake are as follows:

Stay calm! If you're indoors, stay inside. If you're outside, stay outside.If you're indoors, stand against a wall near the center of the building, hold up a heavy object or furniture, stand in a doorway, or crawl under heavy furniture (a desk or table). Stay away from windows and outside doors.If you're outdoors, stay in the open away from power lines or anything that might fall. Stay away from buildings (stuff might fall off the building or the building could fall on you).Don't use matches, candles, or any flame. Broken gas lines and fire don't mix.If you're in a car, stop the car and stay inside the car until the earthquake stops.Don't use elevators (they may shut down).

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You are working in a veterinary office. You are taking a very large dog on a leash to be reunited with his owner. The excited dog jumps up and down, loses his balance, and accidentally claws your ankle, leaving a 1” cut that is superficial but bleeding. What should you do?

Answers

Answer:

You should not get frustrated and take care of it by not freaking out.

Explanation:

Answer:

calm down and wash the cut if it's really bad go to the doctor

Explanation:

did this happen to you

The body’s primary source of energy comes from _______________.

Answers

Answer: carbohydrates

Explanation:

Recreational drugs are drugs that you CHOOSE to take but don't actually need. True or False?

Answers

the answer is true examples are heroin,cocaine,acid etc those are drugs you do not need but choose to take

Which of the following options all contain calories?
Fat, minerals, vitamins
Vitamins, protein, carbs
Carbs, fat, protein
Protein, minerals, water
Vitamins, water, minerals
Fat, water, carbs

Answers

Answer:

Carbs, Fat, and Protein

Explanation:

I took a food health class in high school

What is one way to ensure that patient information is accurately recorded?
Ask coworkers to record information that you have gathered about patients.
Write things down using shorthand and coded language so that only you can understand the information.
O Try to remember all relevant information about a patient and write it down when you have time.
O Write down details, such as a patient's height and weight, immediately after measuring them.

Answers

D- You need to write down details about a patient as soon as you receive them.

Answer:

D. Write down details, such as a patient's height and weight, immediately after measuring them.

Explanation:

edge 2021

Which of these items are steps in the process of a root cause analysis? Select all that apply.
Describe the problem in detail and list symptoms.
Observe and collect the data and proof.
Write a narrative about what happened.
Investigate and name possible causal factors
Make a checklist rubric, and list of the event's steps.
Name the root causes of the problem or the reason it occurred.
Advise and put into practice solutions to fix the problem.
Create or draw an illustration of the event.

Answers

Answer:

A - Describe the problem in detail and list symptoms.

B - Observe and collect the data and proof.

D - Investigate and name possible causal factors.

F - Name the root causes of the problem or the reason it occurred.

G - Advise and put into practice solutions to fix the problem.

Explanation:

edge

The items that step in the process of a root cause analysis are:

A - Describe the problem in detail and list symptoms.

B - Observe and collect the data and proof.

D - Investigate and name possible causal factors.

F - Name the root causes of the issue or the reason it occurred.

G - Advise and put into practice solutions to fix the concern.

What is root cause analysis?

Root cause analysis RCA is a process or to find the root cause of a disturbance or issue. The main aim of the RCA is to find the root cause and prevent it from happening.

The main steps of the process are description, observation, investigation, and advice.

Thus, the correct options regarding the process of a root cause analysis are:

A - Describe the issue in detail and list symptoms.

B - Observe and collect the data and proof.

D - Investigate and name possible causal factors.

F - Name the root causes of the issue or the reason it occurred.

G - Advise and put into practice solutions to fix the concern.

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