Exam questionKROK 2Medicine ยท 2010
A 40-year-old patient complains of colic pains in the lower abdomen and profuse bloody discharges from the genital tracts. Over the last 2 years she has been having menses for 15-16 days, profuse, with clots, painful. In anamnesis there are 2 medical abortions. On bimanual investigation: in the canal of the uterine cervix some fibromatous nodes are palpable, they are 3 cm in diameter, on the thin crus. Discharges are bloody, moderate. Choose the correct treatment tactics:
Answer options
- Hormonal hemostasis
- Supravaginal ablation of the uterus without appendages
- Hysterectomy without appendages
- Operation: untwisting of the nodes
- Step-by-step vitamin therapy
Correct answer
Operation: untwisting of the nodes
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