35 year old female G2P2 with no PMH reports dysmenorrhea and…
35 year old female G2P2 with no PMH reports dysmenorrhea and heavy menstrual bleeding. The patient reports her menstruation is regular, but premenstrual and menstrual symptoms have worsened in the last few months. The patient reports severe bloating before menstruation, menstrual cramps have become severe, and menstrual bleeding has become very heavy. She reports she needs to change her pads every 2-3 hours due to soaking through. LMP was 1 week ago. On exam, patient is in no distress. On pelvic exam: cervix is closed with no lesions, uterus non-tender, but slightly enlarged symmetrically; no adnexal masses, no pelvic motion tenderness. Otherwise, exam is unremarkable. VS: BP: 120/70 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored. Please provide differential diagnosis for this presentation (list at least 5) AND what imaging would be indicated for this case.
Read DetailsA 40 year old female with no PMH reports a palpable mass in…
A 40 year old female with no PMH reports a palpable mass in her right breast. Patient reports she palpated it about 1 week ago and since then the mass has become somewhat bigger and is now painful. Patient denies any nipple change or changes. Patient also denies fever, malaise or weight loss. Menstrual periods have been regular, LMP 2 weeks ago. On exam, the patient is in no distress. Breast appear symmetric, no lesions or visible masses. Nipples appear normal with no retractions or lesions, no nipple discharge. About 2cm round, mobile palpable lesion in the right lateral breast at about 11 o’clock, about 3cm from the nipple. Otherwise, exam is unremarkable. VS: BP: 120/70 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored. Please provide a reading for the following image (presume this is the right breast): 1. Type of image and view2. Description of abnormal findings 3. Other findings
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