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Re: Post-menopausal bleeding
From: anonymous@obgyn.net
Sat, 24 Jul 1999 23:11:46 -0500 (CDT)
I also am not a medical professional, but am wondering if infection has
been ruled out and if an ultraound has been done to look for polyps,
turmors, and other abnormalities?
Personally my opinion is rule out the most dangerous possible causes
first such as cancer.
Laura
At Sat, 24 Jul 1999, dbb wrote:
>
>I am not a medical person at all, but almost having lost my husband with a
>blood pressure of slightly higher than the one you report, I would be
>jumping to treat the hypertension quickly.
>
>-----Original Message-----
>From: anonymous@obgyn.net [mailto:anonymous@obgyn.net Behalf Of
>Lisa
>Sent: Saturday, July 24, 1999 6:45 PM
>To: Multiple recipients of list WOMENS-HEALTH
>Subject: Post-menopausal bleeding
>
>I am interested in your views regarding a patient.
>She is an 84 year old spinster with an 8-week hx of PMB, the bleeding is
>intermittent and in the form of spotting. She has not identified any
>pain,discharge,pruritus,or bowel symptoms. She has had 4-UTIs in the
>past 6-months and has some urge incontinance. She has also lost
>14-pounds in weight over the last 3-months. On examination she was
>found to have a markedly atrophic vulva and vagina with an intact hymen.
>The other relevant features were a smooth firm non-tender enlargement of
>the liver (2cm below the costal margin), several shoddy inguinal lymph
>nodes, and a BP of 210/ 122.
>The difficulty in this patient is whether to subject the patient to
>evaluation under anaesthetic to identify any evidence of gynae malignacy
>or to treat the patient symptomatically? The issue of to what degree
>this patient should be evaluated and how this will influence the
>management is very important.
>
>Thank you for your kind consideration on this matter.
>
>--
>L. A. Bishop
>
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