Question

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?

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.