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Old 11-04-2012
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Arrow Gyrus Daily Questions; Obstetrics & Gynecology #6

A concerned mother brings her 17-year-old daughter to your offi ce for a second opinion. The patient appears to have normal female secondary sexual characteristics with normal breast development as well as normal pubic and axillary hair growth. However, the mother is very concerned because her child still has not gotten her period. After review of the records you learn that the initial gynecologist made a diagnosis of a müllerian agenesis after obtaining an abnormal pelvic ultrasound and a normal (46,XX) karyotype. You recommend:

A MRI of the brain to rule out any intracranial masses
B MRI of both ovaries
C Complete retroperitoneal ultrasound to evaluate for renal or urinary tract anomalies
D Immediate removal of bilateral gonads due to risk of malignancy
E Cyclic oral contraception
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Old 11-04-2012
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C Complete retroperitoneal ultrasound to evaluate for renal or urinary tract anomalies
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Old 11-05-2012
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Quote:
Originally Posted by cingulate.gyrus View Post
A concerned mother brings her 17-year-old daughter to your offi ce for a second opinion. The patient appears to have normal female secondary sexual characteristics with normal breast development as well as normal pubic and axillary hair growth. However, the mother is very concerned because her child still has not gotten her period. After review of the records you learn that the initial gynecologist made a diagnosis of a müllerian agenesis after obtaining an abnormal pelvic ultrasound and a normal (46,XX) karyotype. You recommend:

A MRI of the brain to rule out any intracranial masses
B MRI of both ovaries
C Complete retroperitoneal ultrasound to evaluate for renal or urinary tract anomalies
D Immediate removal of bilateral gonads due to risk of malignancy
E Cyclic oral contraception
Letter C, if the diagnosis of mullerian agenesis was trully made, an usg will have to show more stuff going on
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Old 11-20-2012
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Yup Müllerian agenesis is ass with urinary tract anomalies so firstly should be exclude by Abd-pelvic U/S and the next step is planning for elective surgical elongation of the vagina
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Old 11-20-2012
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C to look for other associated agenesis.
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Old 11-20-2012
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C Complete retroperitoneal ultrasound to evaluate for renal or urinary tract anomalies
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Old 05-25-2015
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Default Mullerian Agenesis

Quote:
Originally Posted by cingulate.gyrus View Post
A concerned mother brings her 17-year-old daughter to your offi ce for a second opinion. The patient appears to have normal female secondary sexual characteristics with normal breast development as well as normal pubic and axillary hair growth. However, the mother is very concerned because her child still has not gotten her period. After review of the records you learn that the initial gynecologist made a diagnosis of a müllerian agenesis after obtaining an abnormal pelvic ultrasound and a normal (46,XX) karyotype. You recommend:

A MRI of the brain to rule out any intracranial masses
B MRI of both ovaries
C Complete retroperitoneal ultrasound to evaluate for renal or urinary tract anomalies
D Immediate removal of bilateral gonads due to risk of malignancy
E Cyclic oral contraception
The Answer is C, Mullerian agenesis is associated with Urinary tract anomalies because of the close proximity of these structures. The only answer that makes allows to check that is C.
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