Question

A mother brings her 11 year-old daughter in to see you. Mom expresses her concern at the following symptoms exhibited by her daughter:

fatigue

shortness of breath

increased occurrences of lumpy bruises

As you talk with both women, you uncover some additional information. The daughter began her first menstrual cycle a few months ago and she has noticed the following symptoms:

large blood clots in her menstrual fluid

menorrhagia

Respond to the following questions:

What is your initial diagnosis? Why have you come to this diagnosis? (5 points)

Are there follow-up questions you should ask? If so, what are they? (5 points)

What two tests will you perform in order to verify your diagnosis? Why have you selected these tests? What will they tell you? (10 points)

What treatment(s) will you recommend? Why? (5 points)

Answer 1

A.First diagnosis should be Blood test to check if there is any case of Anemia, thyroid disease or any clotting disorder.

And then, followed by endometrial diagnosis to check walls of uteres for any abnormalities.

B. yes, there are some followup questions to ask such as..

• bleeding for longer than a week or more
• how large are the blood clots in bleed
• if she needs to change sanitary pads for 3-4 time during night also.

C. two test to confirm this disease are

1. Pep Smear Test = To check if there is any infection, inflammation in cervical.
2. Hetroscopy = to check the linings of uterus,a camera is inserted.

D. These tests will help in confirming that this abnormality is because of the uterus lining or some other kind of body problems.

E. Treatments = Drugs with iron supplements for anemia, some oral pills to reduce bleeding period and quality of blood.

and in some sever conditions , there are some surgical methods such as myomectomy,Dialation and curratage etc.