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A 29 -year old woman has dull pain in two separate focal areas of her abdomen...

A 29 -year old woman has dull pain in two separate focal areas of her abdomen that seems to come and go cyclically. she also complains of occasional dyspareunia. Her abdomen is tender to palpation in the area she described. Which of the following most accurately matches S&S to pathology?

a). The cyclical pain is probably related to dysmenorrhea from hormonal malfunction.

b). Because of monthly retrograde bleeding, there are bits of ectopic endometrium in the abdomen that caused pain.

c). PID has caused bilateral salpingo-oopheritis.

d). Endometriosis has caused ectopic areas of cancerous tissue in the abdomen that cause pain on a cyclical basis.

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Answer #1

Ans : d) Endometriosis has caused ectopic areas of cancerous tissue in the abdomen that cause pain on a cyclical basis. (*The history of dyspareunia abdominal pain and tenderness are classic for endometriosis).  

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