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Interpret diagnostic tests in a reproductive-aged woman with pelvic mass

Learner Task: Interpret the diagnostic test results below. What additional problems have you identified with the patient based on these labs?

  • Pap test is negative for malignancy and HPV negative
  • Pelvic ultrasound reveals a fibroid uterus with multiple intramural and subserosal fibroids, largest 5x4cm, with an endometrial stripe of 10 mm and normal adnexa
  • Hemoglobin: 9.2 g/dL
  • Platelets: 223,000/uL
  • Serum Beta-hCG: <5 mIU/mL (<5mIU/mL)
  • Serum TSH: 4 mIU/mL (0.4-5 mIU/L)
  • PT: 12 sec (11-14 nl range)
  • PTT: 30 sec (25-35 nl range)
  • INR: 1.0 (0.8-1.2 nl range)
  • Endometrial Biopsy: proliferative endometrium, no hyperplasia

Educator Checklist: Problem List
Mark the appropriate column to indicate whether the learner included each element in his or her response. When completed, tally the “Included” column to calculate the learner’s score.

Included =1 Not Included =0
Anemia: recognizes low Hgb
Fibroids on ultrasound could be cause of the abnormal bleeding
Recognizes fibroids