Clinical Case 1
A 58-year-old lady presents with vaginal bleeding for two days. She has not had a period for over five years. Today she had heavy bleeding, requiring her to change eight pads and she passed clots. The bleeding seems to have resolved but now she feels dizzy and exhausted. She has a PMH of IHD.
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Question 1 of 3
1. Question
What is your initial approach?
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Question 2 of 3
2. Question
Her pulse is 98 bpm and blood pressure 132/64. Otherwise, the observations and examination are normal. You perform a speculum examination which is normal with no active bleeding.
What investigations will you send for this patient?
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Question 3 of 3
3. Question
Her Hb is 71. No previous investigations are available for comparison. What do you do next?
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