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  #1  
Old 05-07-2013
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ObGyn Bartholine Cyst Management

A 30 year old women presents with the mass in the lateral side of her vulva. she gives history of pain during intercourse. on examination of the mass it is tense tender and fluctuant. the next best step in management is..
a) I & D
b) Usg abdomen
c) ct scan for extension
d) Marsupialization
e) I & D with culture of fluid for STD s
f) O/C pill
g) antibiotics
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  #2  
Old 05-07-2013
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i think A ) I and D(bartholin abscess..?) .......would be most appropriate than option E)-as there is no vaginal discharge +nt

thanks
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  #3  
Old 05-07-2013
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Quote:
Originally Posted by rupesh View Post
a 30 year old women presents with the mass in the lateral side of her vulva.she gives history of pain during intercourse.on examintion of the mass it is tense tender and fluctuant.the next best step in mangement is..
a)I & D
b)Usg abdomen
c)ct scan for extension
d)Marsupialization
e)I & D with culture of fluid for STD s
f)O/C pill
g)antibiotics
E I think.
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  #4  
Old 05-07-2013
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I guess it's D) Marsupilization as it looks like a bartholin gland cyst
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Old 05-07-2013
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Correct Answer e

Quote:
Originally Posted by rupesh View Post
a 30 year old women presents with the mass in the lateral side of her vulva.she gives history of pain during intercourse.on examintion of the mass it is tense tender and fluctuant.the next best step in mangement is..
a)I & D
b)Usg abdomen
c)ct scan for extension
d)Marsupialization
e)I & D with culture of fluid for STD s
f)O/C pill
g)antibiotics
this a classical case of bartholin gland cyst that has converted to bartolin gland abscess....hence the treatment is i and d with culture of aspirated fluid for gonorrhoea and chlamydia...recurrent infection requires marsupialization
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The above post was thanked by:
BritneySpears (10-04-2014), radkur (05-07-2013), venky2600 (05-07-2013)



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