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USMLE Step 2 CS SP Challenges Challenging situations presented by the Standardized Patient (SP) during the the USMLE Step 2 CS Encounter.

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Old 03-12-2012
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Help Afraid of hysterectomy

A patient with vaginal bleeding is afraid that she needs a hysterectomy.

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Old 03-12-2012
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Ask first "Why do you think you might need a hysterectomy".

Then explain to her that hysterectomy is not always the treatment for vaginal bleeding, we need to take full history and physical exam and do several tests before we know the diagnosis and only then we can know what treatment options you have.

Many vaginal bleeds can be treated with much simpler approaches such as hormonal medicines.

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