A 30-year-old woman with, hematuria and anemia was presented with skin spots. Ultrasound of abdomen detected normal kidneys; at the pelvis, there was a big mass with size of 25 cm from pubis to umbilicus. Suggest the treatment for the same?
Mass occupying pubis to umbilicus in a women more likely uterine fibroid or ovarian tumor Pt has hematuria with skin spots which are likely PURPURIC Needs to workout blood dyscrazia Adv ct abdomen and cancer markers
IT'S A..CASE OF.. ? UTERINE PATHOLOGY.. ? APPENDICULAR PATHOLOGY.. NEED'S.. * ANEMIA PROFILE.. * MRI STUDY.. * FNAC..
? UTERINE/FIBROID MASS STILL TO BE RULED OUT BY CT/MRI CBC,ESR,LFT,RFT,TFT, CA125,FNAC, URINE RE/ME AND C/S TO BE CONSIDERED FOR SURGICAL INTERVENTION AND HP STUDY
* Appendicular ( Mass or abscess) ** Uterine fibroid
Hematuria , and anemia Skin lesions are Ecchymosis. Likely to be Hemaetological disorder , Coagulopathy. Mass in the pelvis ? Malignant lesion . ? DIVC related to intraabdominal malignancy
Uterine fibroid? Appendicular abscess? Better to adv MRI whole abdomen. FNAC Nd further related investigations.
Uterine mass Lipoma Fibroma
Ruptured ectopic pregnancy abdominal DD Twisted ovarian cyst
Need history in detail. Married , unmarried,kids,LSCS,any h/o surgery,parity & all.
Get MRI Whole abd to get a clear picture of mass CBC to rule out aplastic anemia Fibroid ovarian mass Skin spots due to anemia
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