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 |