Women's health · Explanation & counselling

Something coming down

Easy

10 min station · 2 min reading · Recommended for Curtin Year 4 students

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X K D G

2 min reading · 10 min station · reminders at 2 min

Instructions

You are a medical student on placement in general practice. Elaine Blackwood, 62, has had a dragging feeling and a bulge at the vaginal opening for a year, worse by evening and after gardening. The GP has taken a history and examined her.

  1. Explain the diagnosis and the management plan to Mrs Blackwood

  • You do not need to take a history or examine the patient

GP examination

Anterior vaginal wall descends to the hymen on straining (stage 2). Posterior wall and cervix well supported. Atrophic tissue. Leaks a little with coughing.

Urine

Dipstick normal. Post-void residual 40 mL.

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