A 50-year-old G3P3 comes to the office due to heavy periods, spotting between menses, fatigue and weakness. Over the past six to eight months, she has noticed a significant increase in the amount of her menstrual bleeding, currently requiring a box of 30 pads for each month. She has noticed an increase in the amount of blood clots and cramping pain during menses. Her previous history is significant for hypertension for 10 years, controlled with hydrochlorothiazide and a postpartum bilateral tubal ligation 20 years ago. She has no history of abnormal Pap smears and no sexually transmitted infections. Blood pressure is 138/84; pulse 82; respirations 20; weight 220 pounds; height 68 inches. On pelvic exam, uterus is approximately 10-week size. She is nontender on bimanual exam and no adnexal masses are appreciated. A Pap smear one month ago was normal, and her hematocrit is 29 and she is asymptomatic. What is the next best step in the management of this patient?A. HysterectomyB. Endometrial biopsyC. ErythropoietinD. Blood transfusionE. Endometrial ablation

Answers

Answer 1

Answer: Endometrial biopsy

Explanation:

The next best step in the management of this patient is endometrial biopsy. Endometrial biopsy is when a small piece of tissue is removed from the endometrium of the patient.

The removed tissue is then examined by the medical practitioner in order to determine any abnormalities in the cell and thereby form a diagnosis. This will be vital to get the necessary information that'll be used in taking care of the patient.


Related Questions

Do short people have night vision? I found this on google but I want to know the answer.

Answers

Answer:

no

Explanation:

i wanna know if any of u guys know what anorexia is.
do not look it up i want ur honest answers.

Answers

Anorexia is a mental disorder when someone refrains eating to lose weight.

Carbohydrates are called body building foods? True or False​

Answers

Answer:

Carbohydrates and Muscle Building

Carbohydrates are an important group of foods for fueling your muscles. That's because carbs are partially converted to glycogen, which is stored in muscle to power your workouts.

Explanation:

That is true. It builds muscle.

What is the role of teachers in reproductive health? 

Answers

Answer:

These interventions include family planning information, education and communication; contraceptive counseling and provision of contraceptives; basic screening of sexually transmitted infections; prenatal or newborn care; and breastfeeding support

Explanation:

12.The leukocytes involved in innate immunity are of two
general types, each with a different action against pathogens:
Name them

Answers

Answer:

The leukocytes of innate immunity can be, according to their functions, leukocytes with phagocytic activity and natural killer leukocytes or NK.

Explanation:

Innate immunity is a natural and non-specific immune response of an organism, which implies an immediate response but does not extend over time. The innate cellular response includes phagocytes and natural killer cells or NK.

- Phagocytes or leukocytes with phagocytic function can identify and eliminate foreign agents generally, without discriminating between the type of agent. Macrophages, dendritic cells and neutrophils belong to this cell group.

- NK cells are able to eliminate cells in the body infected by microorganisms, as these cells are not recognized as their own due to changes in their cellular markers. Tumoral and virus-infected cells can be eliminated by NK. Basophils, eosinophils and mast cells belong to this group of NK cells.

explain the interrelationship between population environmemt and development.​

Answers

Answer:

Hope you like

Explanation:

population enviaroment and development are co related with each other. there should be balance between population and environment for the development. If the population of any place is high and the environment is not friendly the developmental processes will not be succed and sustainable.

i’m confused i’m kinda republican but more liberal but i wouldn’t call myself a democrat or an republican. what side am i on?!?!

Answers

Independent if you don’t want to choose a side

Answer:

You would be called an "Independent"

Explanation:

a) How deep does the ink have to go in order for the color to be permanent?

Answers

Answer:

1.5 to 2 millimeters

Explanation:

hope this is the answer ;w;

this is the last one ​

Answers

Answer:

A

Explanation:

Answer: A

Explantion: It helps to contain a fire.

Which domain do viruses belong to?

Answers

ITS A


hehhehehehehehehhee

Discuss how the use of pedometers benefited people at high risk for type 2 diabetes. (Site 1

Answers

Answer:

A pedometer is a device that a person's steps by detecting the motion of their hands or hips. It has been proven that the use of pedometers can benefit people at high risk for Type 2 diabetes.

Pedometers help us keep track of how physically active we are. Exercise is highly advised to people who are at risk of this disease. Thanks to a pedometer, a person can see how active they are, if they need to exercise more, or if they are making progress. The more active a person is, the lower their sugar will be, decreasing their risk of developing diabetes.

Answer:

A pedometer is a device that a person's steps by detecting the motion of their hands or hips. It has been proven that the use of pedometers can benefit people at high risk for Type 2 diabetes.

Explanation:

pls mark brainliest I really need it :)

Which eating disorder is signaled by a person eating large quantities of food and then intentionally vomiting?

A. bulimia
B. anorexia
C. obesity
D. anemia

Answers

B. Anorexia

"When you have anorexia, you excessively limit calories or use other methods to lose weight, such as excessive exercise, using laxatives or diet aids, or vomiting after eating. Efforts to reduce your weight, even when underweight, can cause severe health problems, sometimes to the point of deadly self-starvation." - mayoclinic.org

Chemotherapy or “chemo” is the use of a drug to treat cancer. Surgery and radiation therapy remove, kill, or damage cancer cells in a certain area, but chemo can work throughout the whole body. This means chemo can kill cancer cells that have spread to parts of the body far away from the original tumor. If cure is not possible, chemo may be used to control the disease. Chemo is used to shrink tumors or stop the cancer from growing and spreading. Chemo can also be used to help shrink a tumor that’s causing pain or pressure.

–“How Is Chemotherapy Used to Treat Cancer?”

American Cancer Society

What are the benefits of chemotherapy? Check all that apply.

decreases pain
shrinks tumors
kills cancer cells
reduces pressure
provides a drug-free treatment
removes tumors
stops cancer from spreading
works throughout the whole body

Answers

Answer:

Decreases pain

Shrinks tumors

Kills cancer cells

Reduces pressure

Stops cancer from spreading

Works throughout the whole body

Explanation:

Based on the given passage, we can conclude what the benefits of chemotherapy are. We can use the following lines to get to the correct answer:

... but chemo can work throughout the whole body. This means chemo can kill cancer cells that have spread to parts of the body far away from the original tumor. - Chemotherapy works throughout the whole body and kills cancer cells.

Chemo is used to shrink tumors or stop the cancer from growing and spreading. - Chemotherapy can shrink tumors and stop the cancer from spreading.

Chemo can also be used to help shrink a tumor that’s causing pain or pressure. - Chemotherapy shrinks tumors, decreases pain, and reduces pressure.

Chemotherapy is not a substitute for a treatment that involves the use of drugs. Also, it doesn't remove tumors - surgery does. This is why the fifth and sixth options are the only incorrect ones, while the rest are correct.

Answer:

ABCD and last 2

Explanation:

Which BMI score listed below is considered obese?
A. 20-25.9
B. 25-29.9
C. over 30
D. there is no way to determine

Answers

They always say if you do not know the answer pick C

Answer:

C. Over 30

Explanation:

Just did the test

Worrying about a test does not help when dealing with test anxiety.


Please select the best answer from the choices provided

T
F

Answers

Answer:

t. true

Explanation:

Answer:

TRUE

Explanation:

edge

List any four causes of smoking​

Answers

Answer:

peer pressure, stress relief, rebeling againt parents (mostly in teens), coping woth PTSD

Explanation:

Address the following questions about the commercial:
• What kinds of things is the product being associated with in the advertisement?
• How do the people in the advertisement appear?
• What are the physical qualities of the individuals in the advertisement?
• Are there any indications of the health risks associated with the product?
• Sum up the message of the images in one or two sentences.
• Does thinking about these elements change how you see the advertisement ?Explain your answer.

Answers

Answer:

So what? A know a derecha

what does holding a grudge mean?

Answers

Answer: holding extreme feelings towards someone over something they might’ve done to you or others in the past!

Explanation:

Which three professionals are demonstrating that they are a responsible leader? Sara accepts that she is answerable for the increase in safety incidents in her department. Ray arranges for a training on soft skills for the staff. Sean likes to watch his staff closely as he thinks they may do something wrong. Jade ensures that everyone gets the night shift in rotation. Warren withholds important information from his team so his team can never do without him.

Answers

Answer:

SaraRayJade

Explanation:

Good and responsible leaders are those who are able to trust their subordinates and try to improve them as well as treat them equally. Such leaders also take responsibility for events that occur under their watch/ authority. Responsible leaders do not want to grow on their own and mistrust their team.

Sara is therefore a responsible leader as she took responsibility for the safety incidents in her department rather than blaming it on another.

Ray is also a responsible leader who cares for subordinates and showed this by arranging training for the staff which would improve their skill set.

Jade as well is a responsible leader by making sure that everyone got to work in the night shift on rotation so that no one person does too much.

Why are smartphones useful to traffickers for controlling their victims?
They allow traffickers to elude authorities.
They allow traffickers to communicate with the purchaser.
They allow traffickers to advertise on the internet.
They allow traffickers to track their victim's location and actions.

Answers

The answer is They allow traffickers to track their victim's location and actions.

Smartphones are useful to traffickers in controlling their victims because it allow traffickers to track their victim's location and actions and is denoted as option D.

What is a Smartphone?

This type of device is usually portable and contains a mobile telephone an other computing functions.

It has a GPS which can be used to track location and action which is how traffickers control their victims.

Read more about Smartphone here https://brainly.com/question/917245

#SPJ5

we talked about perseverance. In your own words, define what that means.​

Answers

Answer: Perseverance is not giving up. It is persistence and tenacity, the effort required to do something and keep doing it till the end, even if it's hard. Perseverance originally comes from the Latin perseverantia and means to abide by something strictly.

Explanation:

is a filipino and white race a good mix like will there kids look good?

Answers

Bruh all races look good everyone in a different way the other question t f look like a cow

The ability to preform a combination of movements using different parts of your body is (5 points)

Answer choices
A.) balance
B.) coordination
C.) power
D.) speed

Answers

The answer is . B.) coordination

what is the main function of the reproductive system

Answers

Answer:

to make babies

Explanation:

PLZZ HELPPP
three ways someone can overcome childhood emotional neglect? Explain why this is important to know when working with young children.

Answers

Answer:

Therapy

A psychologist or therapist can help a child learn to cope with their emotions in a healthy way instead of bottling them

Family therapy

If a child is being emotionally neglected at home, family therapy can help both the parents and the child

Social alignment classes/ Parenting classes

You can talk to the teacher or therapist about your issues at home and they’ll help you with your problems while calming you

Explanation:

Often times as a therapist, you will face challenges similar to a child bottling their emotions due to social anxiety

In family therapy you often see most parents are abusive based off past traumas as a child

Therapy can help a child feel like they can trust you so they’ll put their trust issues to the side to admit to their issues

I hope this helps you!

All of the following represent methods of problem-centered instruction except
A guided design
B. case studies
C. simulations
D. independent exploration

Answers

Answer: The answer is actually D!

Explanation:

I just finished the last part of the lecture :)

Answer: D

Explanation: Independent exploration

8. LDLs carry cholesterol to the liver for degradation, and HDLs transport cholesterol to the body cells.
a. True
b. False

Answers

True !!!!!!!!!!!!!!!!!!

more cases of skin cancer are caused by using tanning beds than cases of lung cancer resulting from smoking. About of adolescents and of college students have used tanning beds.

Answers

Answer:

90,000

19%,,55%

Explanation:

Answer:

1. 90,000

2. 19%

55%

Explanation:

edge

It is impossible to overdose on over-the-counter drugs.
A.
True
B.
False

Answers

False. It is possible to overdose on over-the-counter drugs.

Answer:

B. False

Explanation:

Most drugs you can overdose on.

Tom currently plays hockey during the winter months. What similar sport could continue to improve his agility and lower body endurance during the summer months?
A.) Lacrosse
B.) Kayaking
C.) Bowling
D.) Badminton

Answers

Answer:

Its gotta be Lacrosse

Explanation:

Kayaking does not focus on lower body, nor does bowling. Badminton isn't similar to Hockey either, but Lacrosse is. And that could really help with lower body endurance and agility.

Answer:

The answer is "A," lacrosse.

Explanation:

Lacrosse and hockey are very very similar to each other, some aspects identical. Assuming "winter months" is a key piece of info, none of the other sports make sense for the context of the question.

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