A 24-year-old woman, gravida 1 para 0, comes to the office for her first prenatal visit after a positive home pregnancy test Her last
menstrual period was 9 weeks ago Prior to conception, she had regular 28-day cycles with heavier and longer periods after stopping
oral contraceptives last year The patient has had some nausea and vomiting, but no cramps or vaginal bleeding. On review of
systems, she says that voiding is uncomfortable as she often has the feeling of incomplete bladder emptying. This had been
“happening for a while” prior to pregnancy and she had gotten us,ed to it, but it is getting worse. The patient has no medical
conditions. She takes a daily prenatal vitamin and no other medications. Bimanual pelvic examination shows a 15-week-size, mobile
uterus with an irregular contour. Which of the following is the most likely etiology of her size-date discrepancy?
- QA Adenomyosis
- 0 B. Complete mole
- 0 C. Endometriosis
- 0 D. Leiomyomata uteri
- 0 E. Incorrect dating
- 0 F Multiple gestation
- 0 G. Polyhydramnios
0 voters
EXP:
Subserosal and pedunculated uterine leiomyomata can cause bulk-related symptoms (eg, pelvic pressure, sensation of incomplete
voiding}. Leiomyomata can cause an irregularly enlarged uterus .and size-date discrepancy during pregnancy