Re: case: 34 yo, MR, primary amenorrhea

From: Braun, R. Daniel (rbraun@iupui.edu)
Sat Oct 2 06:17:12 1999


You need to rule out serious causes (Prolactinoma) Time has already ruled out CAH.

RDB R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202

OBGYN.net International Representative for United States

-----Original Message----- From: tessler@frontiernet.net [mailto:tessler@frontiernet.net] Sent: Friday, October 01, 1999 8:42 AM To: Multiple recipients of list OB-GYN-L Subject: case: 34 yo, MR, primary amenorrhea

A mentally retarded, 34 year old patient new to our practice, living in a group home, no family involvement, no history available to explain her alleged primary amenorrhea. Limited GYN exam (blind vaginal Pap, one finger bimanual exam, external visual inspection of genitalia, breasts, thyroid and neck) WNL. Client sees house doctor for "everything but Pap." Would you begin workup to determine cause of amenorrhea, or is the point moot in a 34 year old? Thanks in advance for your opinions.

--
Patti Tessler, BSN, MSN, RN, CS
Family Nurse Practitioner




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