71.0k views
3 votes
A 24-year-old female with vaginal bleeding following fall presents to her physician's office. States she slipped and fell today and landed on her left side. Began having abdominal pain, vaginal bleeding. Denies vaginal discharge, menstrual cycle completed 7-10 days ago. ROS, five systems. SH/FH: noncontributory. Exam is performed of six systems, GU in detail, MDM is moderate.

A. 99214
B. 99203
C. 99213
D. 99204

User Eyup
by
8.2k points

1 Answer

4 votes

Final answer:

A sexually active woman experiencing cramping and bleeding could be undergoing implantation bleeding or have a condition like endometriosis. Pregnancy concerns after unprotected sex around ovulation are valid, considering sperm viability. A vegan experiencing heavy menstrual bleeding might be facing iron-deficiency anemia.

Step-by-step explanation:

In the cases outlined, we observe various scenarios involving female reproductive health issues. For instance, a sexually active woman experiencing bleeding and cramping around three weeks after her last menstrual period (menstrual cycle) could be experiencing implantation bleeding, a sign of early pregnancy, or it might indicate a reproductive system condition such as endometriosis.

In another scenario, a female worried about pregnancy after mid-cycle pain and unprotected sex should understand that sperm can live inside the female reproductive tract for up to five days, making pregnancy a possibility if ovulation occurs within that window.

Additionally, a young woman on a strict vegan diet experiencing heavy menstrual bleeding may be at risk for iron-deficiency anemia due to insufficient iron intake from her diet; this condition can lead to menorrhagia or abnormally heavy bleeding during menstruation.

Moreover, various symptoms such as unusual vaginal discharge, abdominopelvic pain, or severe abdominal symptoms post-travel could be indicative of conditions like sexually transmitted infections (STIs), pelvic inflammatory disease (PID), appendicitis, or gastrointestinal infections contracted during travel.

User Angvillar
by
8.4k points