Postmenopausal bleeding
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Jaypee’s Donald School Video Atlas of Clinical Skills in Obstetrics and Gynecology

by Sanja Kupesic
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A 65-year-old female postmenopausal patient (G2 P3 A0) presents with a 2-week abnormal genital tract bleeding. Her last menstrual period was 15 years ago. She also complains of a mild lower abdominal and pelvic discomfort. Interview patient – Ob Gyn and menstrual history. Order appropriate examinations (pelvic examination, pap smear, pelvic ultrasound and endometrial biopsy). List differential diagnosis of postmenopausal vaginal bleeding. Provide patient education about screening in postmenopaus

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