Women's health - Case studies - EXAM
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Case 1:
32 yo G2 P2002 started having heavy irregular menses about 6
months ago using BTL (tubal ligation) for birth control; History
© 2026 Assignment
- GERD, BMI >37, elevated cholesterol; To evaluate patient's
history* what other questions you should ask her? Ans: Ask
about bipolar treatment
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Expert
Ask about DM/metabolic syndrome
Case 1:
32 yo G2 P2002 started having heavy irregular menses about 6
months ago using BTL (tubal ligation) for birth control; History
- GERD, BMI >37, elevated cholesterol; For patient's physical*
what you should be looking for? Ans: look for fibroids
Case 1:
32 yo G2 P2002 started having heavy irregular menses about 6
months ago using BTL (tubal ligation) for birth control; History
- GERD, BMI >37, elevated cholesterol; What labs* you should
order? Ans: CBC, TSH, prolactin, HbA1c, HCG/pregnancy test
Case 1:
32 yo G2 P2002 started having heavy irregular menses about 6
months ago using BTL (tubal ligation) for birth control; History
- GERD, BMI >37, elevated cholesterol; You find out that she
, 2
has fibroids*. What would be your management/treatment
plan? Ans: Advise to lose weight
OCP
Ablation since she's done having kids
Case 2:
18yo G0 on OCPs for 18 months for cycle control presents with
© 2026 Assignment
light irregular bleeding on the second and third week of her
pill pack; Physical: BMI 18. What would be your diagnosis* for
this patient? Ans: Hypoestrogenic bleeding
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Expert
What is hypoestrogenic bleeding? Ans: - The lining of the
uterus is so thin that it sometimes breaks off prematurely
-Cause is due to birth control pills being primarily progestin
Case 2:
18yo G0 on OCPs for 18 months for cycle control presents with
light irregular bleeding on the second and third week of her
pill pack; Physical: BMI 18. You diagnose this patient with
hypoestrogenic bleeding*. How do you treat this condition?
Ans: Give higher levels of estrogen (50 microgram pill as
opposed to 35)
Case 3:
35yo G3 P1021 presents to the ER feeling tired states her
periods have always been a little heavy. The ER physician says
she feels about 12 weeks pregnant but her HCG is negative.
What is your diagnosis* for this patient? Ans: Most common