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bleeding between periods
internal malignancy associated with polycystic ovarian syndrome, consisting of acne,
hirstism, obesity, irregular periods, infertility, ovarian cys, and eterm-6arly onset type
II diabetes
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acanthosis nigricans
, A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in
her vulvar area. She states that 2 days earlier she could feel a small tender spot on the
left side of her vagina but now it is larger and extremely tender. Her last period was 1
year ago and she is sexually active. She uses the Depo-Provera shot for
contraception. She denies any nausea, vomiting, constipation, diarrhea, pain with
urination, or fever. Her past medical history is
significant for ankle surgery. Her mother is healthy and her father has type 2 diabetes.
On examination she appears her stated age and is standing up. She states she cannot
sit down without excruciating pain. Her blood pressure, temperature, and pulse are
unremarkable. On visualization of her perineum, a large, red, tense swelling is seen to
the left of her introitus. Palpation of the mass causes a great deal of pain. What
disorder of the vulva is most likely causing her problems?
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Bartholin's gland infection
Patient needs to be told to stop compressing her nipple.
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benign breast abnormality
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling
vaginal discharge with some mild itching, present for about 3 weeks. She tried
douching but it did not help. She has had no pain with urination or with sexual
intercourse. She has noticed the smell increased after intercourse and during her
period last week. She denies any upper respiratory, gastrointestinal, cardiac, or
pulmonary symptoms. Her past medical history consists of one
spontaneous vaginal delivery. She is married and has one child. She denies tobacco,
alcohol, or drug use. Her mother has high blood pressure and her father died from a