MedBugs: SAQ #564

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Case: Heavy Bleeding

A 45-year-old woman has presented with severe menorrhagia. She has had increasingly heavy menstrual bleeding over the past 12 months. She is not pregnant.

1. List (5) features of your history and examination, including the relevance of each. 5 marks

2. List (4) investigations you might perform, including justification for each. 4 marks

Your provisional diagnosis is dysfunctional (now known as ‘abnormal’) uterine bleeding.

3. State (3) pharmacological treatment options and the mechanism of action for each. 3 marks

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Case: Heavy Bleeding

1. List (5) features of your history and examination, including the relevance of each. 5 marks

2. List (4) investigations you might perform, including justification for each. 4 marks

3. State (3) pharmacological treatment options and the mechanism of action for each. 3 marks

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