妇产科病例分析子宫内膜癌 - 英文版
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Terms: according to the above case summary, please send the preliminary diagnosis,
diagnostic basis (if there are two or more diagnosis, should be separately listed their
diagnosis), differential diagnosis, further examination and treatment principle of
writing on the answer sheet.
Exam time: 10 minutes. Total of 100 points
5
三、The differential diagnosis
10分
1.Atrophic vaginitis
4
2.Dysfunctional endometrial bleeding
4
3.Submucosal myoma or polyp of the uterus
1
4.Cervical cancer, uterine sarcoma, fallopian tube cancer and other malignant diseases
Physical examination: T: 36.7℃, P80 times/min, R20 times/min, BP 150/100mmHg. Fat, superficial lymph nodes are not visible, cardiopulmonary auscultation is normal, abdomen is flat and soft, there is no pressure pain and rebound pain, liver andspleen are not visible under the rib, and both lower limbs are not swollen.
4
3.hypertensive disease, diabetesin the past
4
4.there is a small amount of blood in the vagina. The cervix is smooth and flaccid (2 points). Anterior uterine position, slightly larger (3 points).
Criteria for the analysis and score of obstetrics and gynecology cases
Evaluation criteria
Total score
score
一、Primary diagnosis
20分
Postmenopausal vaginal bleeding（5points）：Endometrial cancer（5points）
10
2.Inform the patient and family and sign informed consent
5
3.The surgical treatmeຫໍສະໝຸດ Baidut
15
1
四、further examination
20分
1.B-mode ultrasonography
5
2.fractional curettage
5
3.CA125
5
4.hysteroscopy
5
五、principle of treatment
30分
1.finishpreoperative examination (5 points), control blood pressure and blood glucose (5 points)
10
hypertensive disease
5
diabetes mellitus
5
二、Diagnostic basis
20分
1.Have a history of postmenopausal vaginal bleeding
7
2.Vaginal discharge is usually increased
Case analysis of gynecology and obstetrics
case abstract：
XX，56years old，Menopause 2 years, vaginal bleeding for half a month。The patient complainedthat shmenopause 2 years ago, vaginal bleedingisless than the amount of menstruation, no blood clot, no abdominal pain, dizziness, fatigue and other discomfort.Atthe sametime,more vaginal discharge, color white, no odor.socome tooutpatientdepartment fortreatment. Has a history of hypertension for more than 10 years, diabetes for 2 years, has been treated with medicine。G3P2。
Gynecological examination: vulva (-), vagina unobstructed, small amount of blood can be seen, cervix smooth, impotence. The fornix shape was normal, the anterior uterine position was slightly larger, and no abnormality was observed in the bilateral adnexal area.
diagnostic basis (if there are two or more diagnosis, should be separately listed their
diagnosis), differential diagnosis, further examination and treatment principle of
writing on the answer sheet.
Exam time: 10 minutes. Total of 100 points
5
三、The differential diagnosis
10分
1.Atrophic vaginitis
4
2.Dysfunctional endometrial bleeding
4
3.Submucosal myoma or polyp of the uterus
1
4.Cervical cancer, uterine sarcoma, fallopian tube cancer and other malignant diseases
Physical examination: T: 36.7℃, P80 times/min, R20 times/min, BP 150/100mmHg. Fat, superficial lymph nodes are not visible, cardiopulmonary auscultation is normal, abdomen is flat and soft, there is no pressure pain and rebound pain, liver andspleen are not visible under the rib, and both lower limbs are not swollen.
4
3.hypertensive disease, diabetesin the past
4
4.there is a small amount of blood in the vagina. The cervix is smooth and flaccid (2 points). Anterior uterine position, slightly larger (3 points).
Criteria for the analysis and score of obstetrics and gynecology cases
Evaluation criteria
Total score
score
一、Primary diagnosis
20分
Postmenopausal vaginal bleeding（5points）：Endometrial cancer（5points）
10
2.Inform the patient and family and sign informed consent
5
3.The surgical treatmeຫໍສະໝຸດ Baidut
15
1
四、further examination
20分
1.B-mode ultrasonography
5
2.fractional curettage
5
3.CA125
5
4.hysteroscopy
5
五、principle of treatment
30分
1.finishpreoperative examination (5 points), control blood pressure and blood glucose (5 points)
10
hypertensive disease
5
diabetes mellitus
5
二、Diagnostic basis
20分
1.Have a history of postmenopausal vaginal bleeding
7
2.Vaginal discharge is usually increased
Case analysis of gynecology and obstetrics
case abstract：
XX，56years old，Menopause 2 years, vaginal bleeding for half a month。The patient complainedthat shmenopause 2 years ago, vaginal bleedingisless than the amount of menstruation, no blood clot, no abdominal pain, dizziness, fatigue and other discomfort.Atthe sametime,more vaginal discharge, color white, no odor.socome tooutpatientdepartment fortreatment. Has a history of hypertension for more than 10 years, diabetes for 2 years, has been treated with medicine。G3P2。
Gynecological examination: vulva (-), vagina unobstructed, small amount of blood can be seen, cervix smooth, impotence. The fornix shape was normal, the anterior uterine position was slightly larger, and no abnormality was observed in the bilateral adnexal area.