Health, 12.11.2019 08:31, sparkybig12

An 81-year-old g3p3 woman presents to your office with a history of light vaginal spotting. she states this has occurred recently and in association with a thin yellow discharge. she has not experienced any vaginal bleeding since menopause at the age of 52 and denies ever having been on hormone replacement therapy. she has osteoporosis, well-controlled hypertension and diabetes. she is physically active and still drives to all her appointments. she is no longer sexually active since the death of her husband two years ago. on examination, she is noted to have severe atrophic changes affecting her vulva and vagina. a small pederson speculum allows for visualization of a normal multiparous cervix, and the bimanual examination is notable for a small, mobile uterus. rectovaginal exam confirms no suspicious adnexal masses or nodularity. which of the following is the most appropriate management for this patient? a. pelvic transvaginal ultrasound
b. office endometrial biopsy
c. reassurance and observation for further bleeding
d. vaginal estrogen therapy
e. clindamycin vaginal cream

Answers: 3

Other questions on the subject: Health

Health, 22.06.2019 04:30, Yskdl
If an older person went to the doctor with a fever, chills, body aches, and a cough, what would the doctor most likely suspect the person has?
Answers: 1
Health, 22.06.2019 14:30, 20stirltrer
Practice or pre-exercise theories of play pose the idea that a. play provides children with an opportunity to practice adult activities. b. play is necessary to reenergize human cognition. c. children have too much energy and play will rid them of that energy. d. children are the link between animals and human beings.
Answers: 1
Health, 22.06.2019 14:30, alcott1110
Ingredients used in tobacco products been banned?
Answers: 2
Health, 22.06.2019 18:40, tatyananannanana
Why girls are tan and why they fake tan
Answers: 1
Do you know the correct answer?
An 81-year-old g3p3 woman presents to your office with a history of light vaginal spotting. she stat...

Questions in other subjects:

Chemistry, 29.07.2019 12:30
Total solved problems on the site: 10203973