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What's wrong wit this girl???(NBME)
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Author3 Posts
  #1

A 12-year-old girl is brought to the physician
by her mother
because of heavy vaginal bleeding since her first
menstrual period began 1
week ago. She has to change sanitary pads every 2
hours, and her
mother is concerned that this is not normal. Her
blood pressure is 80/60 mm
Hg, and pulse is 110/min. Breast and axillary and
pubic hair
development are Tanner stage 4. Pelvic examination
shows normal external
genitalia, a small normal-appearing cervix, and a
small uterus. Her
hemoglobin level is 7 g/dL.


  #2

choices? she s anemic for sure...and the bleeding doent look normal to me too...choices would help...


  #3

IVF, pRBC transfusion, estrogen, check coag panel. All depends on what the question is...


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