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WITH ANSWERS |\
Abnormal vaginal bleeding - CORRECT ANSWERS ✔✔Any
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variation from a woman's usual menstrual pattern; bleeding
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postmenopause
What are the possible etiology of vaginal bleeding - CORRECT
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ANSWERS ✔✔A.Systemic illnesses: thyroid disease, blood
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dyscrasias, adrenal imbalance, von Willebrand's disease
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B.Submucous leiomyomata in uterus, polyps, uterine prolapse, |\ |\ |\ |\ |\ |\ |\
liver disease, clotting disorders, kidney disease, leukemia
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C.Tumor in vagina, uterus|\ |\ |\ |\
D.Trauma to vagina, cervix; scar tissue
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E.Cervical lesions |\ |\
|\ 1.Polyps |\
2.Carcinoma F.Abnormal hormone secretion (with anovulatory
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bleeding) |\
G.Change in ovarian function (perimenopause) H.Endometrial
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polyps or leiomyomata in cervix, uterus
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I.Pelvic malignancy—nodes, uterus, bladder, rectum, vagina,
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ovary |\
J.Ectopic pregnancy |\ |\
K.Abortion |\
L.Placental accidents |\ |\
, M.Hyperplasia |\
N.Stress, excessive exercise |\ |\ |\
O.Postmenopausal bleeding P.Pharmacotherapeutics |\ |\ |\
Q.Sexually transmitted infections (STIs), pelvic inflammatory
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disease (PID) |\ |\
R.Structural abnormalities within the endometrium, including
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synthesis of vasculature vasodilatory proteins
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S.Endometriosis/adenomyosis |\
T.An object in the vagina U.Urethral prolapse
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What may the patient with vaginal bleeding present with? -
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CORRECT ANSWERS ✔✔1.Midcycle bleeding |\ |\ |\ |\
2.Spotting |\
3.Pain |\
4.Sudden onset of heavy bleeding 5.Perimenopausal bleeding
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6.Postmenopausal bleeding |\
What other additional information must be considered with
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vaginal bleeding? - CORRECT ANSWERS ✔✔1.Is bleeding recent
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or since menarche?
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2.Onset of bleeding |\ |\ |\
3.Amount of flow (pads or tampons per hour); clots and size of
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clots |\
4.Normal bleeding pattern: How does this episode differ from
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normal menstruation? |\ |\