irregular menstural periods

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Ob-Gyn Forum

irregular menstural periods

Author

11 Posts

sweetybokhari
Forum Elite

Topics: 118
Posts: 148

01/21/07 - 09:39 PM

A 30 year old woman presents with a long standing history of irregular menstural periods which are often associated with severe pelvic pain and menorrhagia.she has also been experiencing dysparunia and pain during defecation.which one of the following is most likely to assist you in diagnosing this patient's condition?
1) clinical history
2)laparoscopy
3)pelvic examination
4)hysterosalpingogram(HSG)
5)culdocentesis during menses

sarika
Forum Guru
avatar

Topics: 195
Posts: 1,200

01/21/07 - 10:22 PM

3)pelvic examination ...nodules in uterosacral lig

fox
Forum Guru
avatar

Topics: 70
Posts: 727

01/21/07 - 10:25 PM

3)...is it endometriosis?

___________________
Aim High

drashishmahajan
Forum Senior

Topics: 6
Posts: 92

01/23/07 - 04:54 AM

laproscopy to confirm endometriosis

Guptashutosh
Forum Elite

Topics: 35
Posts: 354

01/23/07 - 07:46 AM

we dont go for laproscopy (although the best for diagnoses here) becoz Q asked wat will most likely ASSIST to diagnose the condition? i think history itself is sufficient , becoz the point i was thinking about is will she really allow for pelvic examination when she has DYSPARUNIA ? HSG IS CONTRAINDICATED

wel i think , i`ll still go with pelvic examination

doc_clotaire
Forum Guru
avatar

Topics: 159
Posts: 1,275

02/02/07 - 12:12 PM

3 ) pelvic exam ( pelvic tenderness )

___________________
The elevator to succes is broke ,you must take the stairs

Dr.Luck
Forum Senior

Topics: 12
Posts: 225

02/23/07 - 02:58 PM

so what's the correct ans sweety?

mjl1717
Forum Hero
avatar

Topics: 958
Posts: 5,465

02/23/07 - 06:41 PM

im sticking with my guns..........***Laparocopy answer #2--pain doesnt correlate with the extent of disease) mad

Edited by mjl1717 on 02/23/07 - 06:51 PM

___________________
Smell the coffee! "Is That an Osler move??"

robin082006
Forum Hero
avatar

Topics: 471
Posts: 5,123

02/23/07 - 06:50 PM

2

2 for endometriosis as mentioned by kap and FA

___________________
The Key to Succeed is Patience.

snowdrops
Forum Senior
avatar

Topics: 6
Posts: 149

02/23/07 - 07:12 PM

#10

I think 1) clinical history is the most helpful for the diagnosis. All symptoms occur during menstruation, that is key for endometriosis. To confirm the diagnosis, you may need laparoscopy to see the nodules on ovary or ligament near the uterus.

mjl1717
Forum Hero
avatar

Topics: 958
Posts: 5,465

02/23/07 - 09:31 PM

#11

snowdrops wrote:
I think 1) clinical history is the most helpful for the diagnosis. All symptoms occur during menstruation, that is key for endometriosis. To confirm the diagnosis, you may need laparoscopy to see the nodules on ovary or ligament near the uterus.

cyclic pain can begin 2-7 days before the onset of menses..and becomes increasingly severe until the flow slackens

___________________
Smell the coffee! "Is That an Osler move??"

You don't have permission to post.