Reference no: EM133718806

Question

A 55-year-old post-menopausal woman presents with vaginal bleeding. She reports that the bleeding has been occurring for the past two weeks and is heavier than her usual menstrual flow. She denies any pain or discomfort. Main Diagnosis: The main diagnosis for this patient is endometrial cancer. Post-menopausal vaginal bleeding is a common symptom of endometrial cancer, and the fact that the bleeding is heavier than her usual menstrual flow is concerning. Additionally, the absence of pain or discomfort suggests that the bleeding is not due to a benign cause such as a vaginal infection or cervical polyp. Differential Diagnoses: Two additional differential diagnoses that could be considered in this case are cervical cancer and endometrial hyperplasia. Cervical cancer can also cause vaginal bleeding, but it is less common in post-menopausal women. Endometrial hyperplasia is a benign condition that can cause abnormal uterine bleeding, but it is less likely to cause bleeding that is heavier than a woman's usual menstrual flow. Diagnostic Plan: The diagnostic plan for this patient should include a pelvic exam, transvaginal ultrasound, and endometrial biopsy. The pelvic exam can help identify any abnormalities in the uterus or cervix, while the transvaginal ultrasound can provide more detailed.