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Grodno S dical

tate me versity
uni
Name :
NANCY VORA
Group
3a:1
Thecaser
ecor
d

1.
Passpor
tpar
t
Sur
name:
nikai
l
ovi
ch
ame:
Elena
Dat
eofbi
rt
h:12.
03.
2002
Educat
i passed12thgr
on: ade
Occupat
ion:st
udent
Mar
it
alst
atus:
unmar
ri
ed

2Com
plai t
s of p :
atient
postcoi
tal
bleedi
nginsevenoccasi
onsover
pr
eceedi
ngsixweekslast
ingover2days
3.
Anamnesi
sofpat
ient
Di
schar
ge:
20.
04.
2021
Sexual
funct
ion:
shehashad3sexual par
tner
s
andhasbeenwit
hhercur
rentpar
tnerfor10
months.shenowhaspost
coit
albleedi
ng
Menstrual
functi
on: Herlastmenst r
ualperi
od
star
ted3weeksagoandshebl eedsfor4day s
ever
y28day s.herperiodswer eprevi
ouslyquit
e
heavybutarenowlightersinceshest ar
tedCOCP
6mont hsago
Repr
oduct
ivef
unct
ion:
nor
mal

4.
Anamnesi
svi
tae:
nost
i

5.Anamnesismorbi
d::postcoi
tal
bleedi
ngin
sevenoccasionsov
erpr
eceedi
ngsixweeks
l
astingover2days

OBJECTI
VERECORD
Hei
ght
:170cm
Wei
ght
:85kg
Const
it
uit
ion:
thi
n
Ski
ncol
our
:whi
te
Ner
voussy
stem:
nor
mal
Ur
inar
ysy
stem:
nor
mal
Gast
roi
ntest
inal
syst
em:
nor
mal
Car
diov
ascul
ar:
nor
mal

GYNECOLOGI
CALEXAMI
NATI
ON
Ext
ernal
sexual
organs:
nor
mal
Exami
nati
onperspeculum :f
lor
idreddenedarea
symmetr
ical
l
ysurroundingt
heexternalcer
vical
os
wit
hcont
actbleedi
ng
Exami nati
onpervagi
num :ut
erusi
snor
mal si
zed,
antevertedandnontender
.Therei
snocer
vical
excit
ationandtheadnexaeareunr
emar
kable
Labor
ator
yexami
nat
ion:
nor
mal
Pr
eli
minar
ydi
agnosi
s:cer
vical
ect
ropi
on
Di
ff
erent
ial
diagnosi
s:
1.cer
vicalectr
opion:iftheswabsandsmearar
e
negat
ivethenaccor di
ngt otheageandt
heuse
COCPconf ir
mst hisdiagnosis
2.chlami
diaorotherst
i:wecanrul
ethi
soutby
endocerv
ical
swabf orchl
ami
dia,gonor
rhoea,
tr
ichomonas,candi
dia
3.cerv
ical
mali
gnancy:wecanr
ulet
hisoutby
taki
ngacervi
calsmear
4.compli
cati
onofcocp: wecanr
ulet
hisout
becauseshestar
tedthi
sdrug6monthsagoand
thecomplai
ntsst
arted6weeksago.

Fi
nal
diagnosi
s:Cer
vical
ect
ropi
on

Treatment:itcanbeasympt
omati
caswellas
symptomatic.forsy
mptomati
ccasest
heopti
os
fortr
eatmentare:
1.
Hor
monal
ther
apy
2.
Discont
inueor
alcont
racept
ive
3.
Cry
other
apyofcer
vix
4.
Abl
ati
onofect
ocer
vix

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