QUESTION Question Julie is a 42-year-old woman who was previously diagnosed with uterine fibroids. She has been having symptoms associated with this condition for about a year and a half. She states that her symptoms have been getting noticeably worse over the course of the last three months. 1. Based on her diagnosis, describe the symptoms Julie is most likely experiencing. (Must answer with 6 possible outcomes) 2. What type of diagnostic tests would likely have been done to confirm her diagnosis? Briefly explain what these tests would show or why they would be useful. Be specific. (Must answer with 3 and 3 possible outcomes) She has now presented to her gynecologist for reassessment. Her past gynecological history reveals TPAL 3-0-1-3 and her children are 18, 15, and 13. She had a tubal ligation following her last pregnancy. Julie and her doctor discussed available treatment options. 3. Outline two medical (conservative management) and two surgical management options that may be available for Julie. Explain briefly what these options will accomplish. Be specific. (Must answer with 4 and 4 possible outcomes)
Julie is a 42-year-old woman who was previously diagnosed with uterine fibroids. She has been
having symptoms associated with this condition for about a year and a half. She states that her
symptoms have been getting noticeably worse over the course of the last three months.
1. Based on her diagnosis, describe the symptoms Julie is most likely experiencing. (Must answer with 6 possible outcomes)
2. What type of diagnostic tests would likely have been done to confirm her diagnosis? Briefly
explain what these tests would show or why they would be useful. Be specific.
(Must answer with 3 and 3 possible outcomes)
She has now presented to her gynecologist for reassessment. Her past gynecological history
reveals TPAL 3-0-1-3 and her children are 18, 15, and 13. She had a tubal ligation following her
last pregnancy. Julie and her doctor discussed available treatment options.
3. Outline two medical (conservative management) and two surgical management options
that may be available for Julie. Explain briefly what these options will accomplish. Be
specific. (Must answer with 4 and 4 possible outcomes)
Leiomyomas are benign smooth muscle tumors of the myometrium, often known as myomas or uterine fibroids. Leiomyomas, unlike cancer, cannot expand the number of blood vessels to enable them to grow. The frequency rises in women between the ages of 30 and 50 but falls after menopause. However, their magnitude seems to be correlated with estrogen, progesterone, growth hormones, angiogenesis, and apoptosis, the source of uterine leiomyomas undetermined.
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