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Old 08-19-2012
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Default DUB mx

A 42-year-old woman is evaluated for a 6-month history of
heavy menstrual bleeding. She has been menstruating for the
last 8 days and is still going through 10 pads or more a day with
frequent clots. She has fatigue but no dizziness. Previous
evaluation for this problem has included normal thyroid function
and prolactin testing. She has no other medical problems and
takes no medications. Pelvic ultrasonography has demonstrated
a large posterior submucosal fibroid. A surgical treatment is
planned in 2 weeks.
On examination, vital signs are normal. Her abdominal
examination is benign, and the pelvic examination reveals a
moderate amount of blood in the vaginal vault.
Hemoglobin level is 10.5 g/dL (105 g/L). Pregnancy test is
negative.
Which of the following is the most appropriate next
management step?
(A) Emergency surgery
(B) Intravenous estrogen
(C) Once daily oral contraceptives
(D) Oral medroxyprogesterone acetate
(E) Reevaluation in 1 week
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Old 08-19-2012
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D.....
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Old 08-19-2012
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(D) Oral medroxyprogesterone acetate

Medical treatment:

Progesterones

Antifibrinolytic agent

NSAIDs

Danazole
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Old 08-19-2012
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Quote:
Originally Posted by riya_rai84 View Post
(D) Oral medroxyprogesterone acetate

Medical treatment:

Progesterones

Antifibrinolytic agent

NSAIDs

Danazole
qbank says thats the answer for moderate DUB. cheers.


can any1 summarize DUB mx?:sorry:
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Old 08-19-2012
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(D) Oral medroxyprogesterone acetate
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Old 08-19-2012
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Quote:
Originally Posted by tyagee View Post
qbank says thats the answer for moderate DUB. cheers.


can any1 summarize DUB mx?:sorry:
if doctor has apoint this patient on surgery in next two weeks,till can we treat the patient with oral m.progestrone acetate therapy??
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