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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

  1. Hormonal hemostasis
  2. Supravaginal ablation of the uterus without appendages
  3. Hysterectomy without appendages
  4. Operation: untwisting of the nodes
  5. Step-by-step vitamin therapy
Correct answer

Operation: untwisting of the nodes

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