A 50-year-old G3P3 woman comes to the office reporting heavy periods, spotting between menses, fatigue and weakness. Over the past six 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 tests and no sexually transmitted infections. Blood pressure is 138/84; pulse, 82; respirations, 20; weight, 220 pounds; height, 5 feet, 8 inches. On pelvic exam, uterus is approximately 10-week size. She is non- tender on bimanual exam and no adnexal masses are appreciated. A Pap test one month ago was normal, hematocrit is 29 and she is asymptomatic. What is the next best step in the management of this patient?

Answers

Answer 1

Answer:

Endometrial biopsy

Explanation:

Based on the information given about the 50 years old woman the next best step in the management of the woman is for her to undergo ENDOMETRIAL BIOPSY procedure reason been that with ENDOMETRIAL BIOPSY procedure the medical practitioner will take out a sample tissue of the lining of the woman uterus which is also known as endometrium so that the medical practitioner can evaluate the tissue and to check for cause of problems in the woman uterus which will help the medical practitioner to easily form the diagnosis or to diagnosed the cause of the woman bleeding problem.

Therefore the next best step in the management of this patient is to carried out ENDOMETRIAL BIOPSY procedure on her.


Related Questions

Which activities best support development of cardiorespiratory fitness?

Answers

Answer:

Activities like walking, jogging, running, cycling, swimming, aerobics, rowing, stair climbing, hiking, cross country skiing and many types of dancing are “pure” aerobic activities. Sports such as soccer, basketball, squash and tennis may also improve your cardiovascular fitness.

Explanation:

Anything that gets your lungs and heart pumping. Running, swimming, biking ext.

10. How much saliva (spit) do you make in a single day?
A one liter
B. 10 milliliters
C. 100
grams

Answers

one liter of spit each day

Answer:a

Explanation:

Sam is running late for work and is trying to decide how he should proceed. If knows that if he speeds in order to try to make it to work on time, he might get a ticket or could cause an accident. He knows there is a chance that he could get to work without anyone noticing he is late. He also considers calling his work and letting them know he is running late. Which of the decision making steps is Sam demonstrating?

Answers

Answer:

-identifying the problem with proper understanding

-trying to avoid specific situation

-finding different alternatives

-evaluating & choosing an alternative

Explanation:

Decision making: The term "decision-making" is described as an individual's act of choosing or selecting between two or more than two course of actions. In other words, it involves selecting different possible solutions to a specific problem. An individual can make a decision through reasoned or intuitive process as well as both at the same time.

In the question above, Sam is demonstrating four different steps of decision making.

Answer questions 1-6 using the website below, however, they must be in YOUR OWN WORDS. You also need to watch the video in the link below. Remember not to use slang terms or text lingo (ex: it is YOU not U)
1. Define Stress?
2.What are 3 ways to cope with stress?
3.Give me 3 examples of things that are stressful for YOU
4.What are 2 things we may feel when under stress?
5.What is the flight or fight response?
6.What hormone is released when under stress?

Answers

-Stress is your bodies tension.
-3 ways you can cope with stress are exercise, medication, and sleep.
-Three things that are stressful to me is the pandemic, tests, and the election.
-When under stress two things you may feel are chest and stomach pain.
-The hormone cortisol is relaxed under stress

It is sport that uses apparatus such as rope,hoop,ball,clubs,and ribbon In P.E​

Answers

Answer:

Rhythmtic Gymnastics

Explanation:

Rhythmic gymnastics I know this because I do Rhythmic gymnastics and it’s really hard but I hope this helped!

Each of the numbered items contains two or more sentences followed by three options for combining them using coordination or subordination. Select the combination that makes the best sense.
A. People with anorexia nervosa may refuse to eat.
B. People with bulimia nervosa may go on an eating binge and then induce vomiting.
C. If people with anorexia nervosa refuse to eat, people with bulimia nervosa may go on an eating binge and then induce vomiting.
D. People with anorexia nervosa may refuse to eat, whereas people with bulimia nervosa may go on an eating binge and then induce vomiting.
E. People with anorexia nervosa may refuse to eat because people with bulimia nervosa may go on an eating binge and then induce vomiting.

Answers

Answer:

D

Explanation:

The word in here, "whereas" makes it easy to understand the comparison.

2. Which function of the skeleton allows us
to stand, sit and stay firm?

A. Skeleton gives much needed support

B. Skeleton protects internal organ

C. Skeleton allows body movement

D. Skeleton produces blood cells

Answers

C. Skeleton allows body movement

What vegetable does internal cerebellum resemble

Answers

Answer:

Walnut.

Explanation:

Walnut is a fruit which resembles to the cerebellum of the brain. It is classified as a fruit not vegetable and one another thing that there is no vegetable resembles to the brain except a dry fruit that is Walnut. It is very good for the health of brain due to the presence of DHA which is a type of Omega-3 fatty acid. So we can say that walnut resembles to the brain as well as good for the function of the brain.

Are there any meals that you suggest with out a lot of carbs please i need something for supper

Answers

Answer:

heyyyyy

Explanation:

how to fkirt with a teacher

Answers

don’t lol that’s weird

Answer:

you cant

Explanation:

What’s the meaning of life to you?

Answers

Answer:

Explanation:

I think the meaning of life is just to live free and to reach goals. Just think, Don't be afraid your life will end, be afraid that it will never begin. <3

To demonstrate malleability, you must be willing to
a. follow directions
b. track your goals
C. work more than others
d. take on new responsibilities
Please select the best answer from the choices provided
A
B
Ο Ο Ο Ο

Answers

Answer:

the answer is d) take on new responsibilitys

Explanation:

edgeu,ity right?

i also think it’s d too

Organ that stores bile produced by the liver.
A. pancreas
B. stomach
C. gallbladder
D. rectum

Answers

Answer:

The answer is C, Gallbladder.

Explanation:

If this helped I would appreciate it if you marked me Brainliest. thank you and have a nice day!

Which behaviors best demonstrate the relationship between health and wellness?

A
Eating whatever you want, because you are athletic.

B
Assessing your health and improving your areas of weakness to avoid diseases.

C
Living life to the fullest, because you are only young once.

D
Being in constant control of yourself and those around you.

Answers

D because you need to take care of yourself and kindly access it to others

what organ contains lymphocytes phagocytes plasma cells monocytes and reticular fibers brainly

Answers

Answer:

Medullary sinuses contain histiocytes (immobile macrophages) and reticular cells. A lymph node contains lymphoid tissue, i.e., a meshwork or fibers called reticulum with white blood cells enmeshed in it. The regions where there are few cells within the meshwork are known as lymph sinus.

Explanation:

According to Maslow, physiological needs are at the base of the hierarchy of needs because...
1. physiological needs are the least important needs.
2. if physiological needs are met, an individual can skip the next level.
3. physiological needs are not the most important needs.
4. if physiological needs are not met, an individual cannot move to the next level.

Answers

Answer:

4

Explanation:

According to Maslow, physiological needs are at the base of the hierarchy of needs because if physiological needs are not met, an individual cannot move to the next level.

What is Maslow's hierarchy of needs?Physiological demands - air, food, drink, shelter, clothes, warmth, sex, and sleep are all biological necessities for human survival.Human body cannot function optimally if these demands are not met. Physiological needs are the most important, according to Maslow, because all other wants are secondary until these are addressed.

Safety needs - after a person's physiological demands are met, security and safety become more important. In their daily lives, people seek order, predictability, and control. These requirements can be met by the family and society (e.g. police, schools, business and medical care).

After physiological and safety requirements are met, the third level of human wants is social, which includes feelings of belonging.

Self-worth, accomplishment, and respect are among the fourth level of Maslow's hierarchy of needs. Maslow divided esteem needs into two categories: self-esteem (dignity, achievement, mastery, independence) and esteem for others (reputation or respect) (e.g., status, prestige).

Maslow's hierarchy's highest level, self-actualization needs, allude to a person's realization of potential, self-fulfillment, personal growth, and peak experiences. This level is defined by Maslow (1943) as the drive to achieve everything one can, to become the best one can be.

What are the long-term effects of endurance exercise on the human body?
(Select all that apply.)

a. decreased resting heart rate
b. increased cardiac output
c. increased insulin resistance
d. decreased heart stroke volume

Answers

Answer: I think it's b,d

Explanation:

Increased cardiac output and decreased heart stroke volume are the long-term effects of endurance exercise on the human body.

What is endurance Excercise?

Endurance exercise is one of the four types of exercise along with strength, balance and flexibility.  They don’t all need to be done every day, but variety helps keep the body fit and healthy, and makes exercise interesting.

Also called aerobic exercise, endurance exercise includes activities that increase your breathing and heart rate such as walking, jogging, swimming, biking and jumping rope.

Endurance activity keeps your heart, lungs and circulatory system healthy and improves your overall fitness. As a result, people who get the recommended regular physical activity can reduce the risk of many diseases such as diabetes, heart disease and stroke.

Therefore, Increased cardiac output and decreased heart stroke volume are the long-term effects of endurance exercise on the human body.

To learn more about cardiac output, refer to the link:

https://brainly.com/question/28902946

#SPJ6

"Do you think the rules of sports should be changed to reduce the risk of concussion? If so, how?"
"What are some ways you can help a loved one with a mental illness or disorder?"
please answer 4 sentence reply

Answers

Answer:

Some ways you could help a loved one with a mental illness or disorder is.To be patient with them its going to take awhile.When the mental illness starts or when the person with the disorder is younger have them do activities that uses the mind alot like puzzles,memory cards etc.Have the loved one try to rember things like say "in 20 minutes were going to bake cookies and see if they rember.  

“do you think the rules of sports should be changed to reduce the dish or concussion?” YES. the sport people mainly have a problem with regarding concussions is football. bow this is a loved sport by most Americans, it is very dangerous and can lead to early death. every time a professional or even high school student collides with someone they approximately get one concussion, now these plays happen a lot and that’s an average of .41 concussions per game with over 10 games a year is well over 3 concussions received in a short amount of time, the brain usually heals from a concussion depending on the severity in 2 weeks. many football players also have been diagnosed with CTE which basically rots your brain away overtime. so yes, something should be done about concussions.

What are some things you feel gratitude for?

Answers

Answer:

for having eyes, ears, mouth, a good brain,

for having good health

Answer:

improving relationship, mental health and self esteem

Cultural mores can act as a source of tension between different cultural groups.
Please select the best answer from the choices provided
T
F

Answers

Answer:

True

Explanation:

Edge 2020

"Cultural mores can act as a source of tension between different cultural groups"  is a true statement.

What are cultural mores?

Cultural mores are social models that are observed within a certain society or culture. Mores decide what things are considered morally sufficient or unacceptable within any given culture.

There are different examples of Mores:

Drinking Alcohol.Carrying Drugs.Stealing.Lying. Beliefs about marriage.

The above mention is the Mores of society, in which drinking alcohol and taking drugs for example are generally unacceptable within any given culture. Beliefs about marriage are different for various cultures according to their thinking.

Therefore, the given statement about cultural mores is true and acts as a source of tension between different cultural groups.

Learn more about culture, here:

https://brainly.com/question/29737590

#SPJ6

Hello, could someone please solve this?

Answers

Answer:

1. Air fills the lungs

2. Volume of the chest cavity expands

3. Pressure increases in the chest cavity

Explanation:

thats the best I can give at the moment sorry love.

I need help I will give you brainly

Answers

Answer:

The distance is 4 squares between.

Explanation:

Select the correct answer.
_____ explains that an individual will change his/her behavior only if they want to change.

A.
The decision-making model
B.
An action plan
C.
A goal
D.
The stages of change

Answers

Answer:

d.The stage of change the answer is d

Elroy was diagnosed with Lennox-Gastaut syndrome when he was 2 years old. Lennox-Gastaut syndrome is a severe form of generalized epilepsy that results in the frequent seizures. It is also associated with intellectual disabilities and developmental delays, likely due to the repeated neuronal insult from the seizures. After trying a number of different medications, the doctors have failed to find one that is able to control Elroy's seizures. Therefore, his doctor recommends that Elroy start on a ketogenic diet to severely limit the amount of carbohydrates in the diet. While this diet is thought to be fairly successful, it is important to calibrate carbohydrate intake precisely to avoid serious side effects. Therefore, Elroy and his parents are working closely with a dietician to ensure that he meets his minimum carbohydrate requirements for glucose-requiring tissues, while still limiting carbohydrates enough to prevent seizures, and simultaneously meeting the regular energy requirements for the rest of his body. When Elroy first starts this diet, his glucose levels decrease. What process increases in order to provide energy for glucose-requiring tissues?

Answers

Answer:

The process that increases to provide energy for glucose requiring tissues is Ketogenesis.

Explanation:

To provide energy for glucose-requiring tissues Elroy's body increases ketogenesis. It is a process that takes place in the liber, where fatty acids are catabolized (break into small components) to produce ketone bodies. Ketone bodies are an alternative source of energy for the body when this one has low levels of glucose, like in this case.

does anyone know these?​

Answers

Answer:

Question 1: A- bend at the waust when lifting something heavy

Question 2: Your co-worker does not ask the patient to state her name and date of birth to verify before beginning a procedure.

1: A
2: C

hope this helpsss

Loaffff loaffffff by loafff- lol - Aidan Gallagher

Can some one plzzzzz help me i need the answer

Answers

Answer:

A. perspiring when the body overheats

Explanation:

Homeostasis is the body's way of maintaining its health.

Sweating is what the body does on its own to maintain balance, so A is the best option here.

B, C, and D are results of exterior factors rather than actions the body takes.

perspiring when the body overheats

What does the acronym ADAP stand for?

Answers

Answer:

AIDS Drug Assistance Program

Explanation:

ok so can a boy who is 15 and a girl who is 13 date??
please tell me that's ok

Answers

yea that’s ok ig ???

Answer:

i guess

Explanation:

i need help so somebody help me. Furthermore, it was remarkably easy to overthrow a dog taken by surprise; while a dog, thus overthrown, invariably exposed for a moment the soft underside of its neck—the vulnerable point at which to strike for its life. White Fang knew this point. It was a knowledge bequeathed to him directly from the hunting generation of wolves. So it was that White Fang's method, when he took the offensive, was: first, to find a young dog alone; second, to surprise it and knock it off its feet; and third, to drive in with his teeth at the soft throat.

What motivating force causes White Fang to aim for another dog’s neck during an attack?

his feelings of vulnerability
his natural wolf instincts
his fear of the man-animals
his wish to please his mother

Answers

Answer:

Answer: His natural wolf instincts

Explanation:

Wolfs are born with natural instincts such as hunting,causing them to already know where and when to strike their prey.

Which of the following statements is TRUE regarding legal consequences of violence?


Jail time will never occur as a result of participating in violent behavior.


Violence to an animal is illegal.


none of the above is true


Violence against property is not illegal.

Answers

Answer:

Violence to an animal is illegal.

Explanation:

For some violent behavior, it is possible to get jail time for your actions. Violence is not only a short fight or something similar but serious acts of violence too.

Violence against property is not legal and you can face serious charges for violating someone's property.

Violence against animals is illegal and you can face charges for participating in that kind of violence.

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