yo pt p/w one month vaginal bleeding
Unlikely Hemorrhagic cystitis: No dysuria
Unlikely PCOS: No changes in hair distribution, no weight change, no change in acne
Not PID: No CMT, no discharge
Unlikely Pituitary changes
Not due to exogenous hormonal sources
Not pregnant
Possible fibroid: consider necrotic fibroid
Not 2/2 trauma
Pelvic US. Type and screen, coags. IVF and repeat CBC – performed after 500cc NS shows ***. Consult gyn