Published online by Cambridge University Press: 19 November 2021
A 55-year-old gravida 1, para 1001 presents to the office with complaints of new-onset vaginal bleeding. She has not had a menstrual period since undergoing an endometrial ablation (EA) seven years ago. The vaginal bleeding started five days ago and is intermittent. She has been bleeding through three to four regular maxi-pads per day. Review of systems is negative for dizziness, fatigue, shortness of breath, and pelvic pain. She is currently sexually active with her husband, who underwent a vasectomy after the birth of their child. Her past medical history is significant for regular, heavy menstrual cycles. She denies a history of bleeding disorders, diabetes, or hypertension. She has no other pertinent surgical history. She has no family history of endometrial cancer. She is not taking any medications and has no drug allergies.
To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.