Female Patient of 35 years age(Engineer by Prof.)
C/O. Irregular mens for last 2 to 3 months with Generalised weakness and Occassional mild pain on the Right Lower Abdomen…
CNS,CVS,CHEST : NAD
How to proceed further to make a Diagnosis??
sounds like chronic ectopic pregnancy or a blood losing right ovarian cyst(chocolate cyst)…
Leave the rest and do usg LA ASAP.
Abdominal and genital kochs.
ESR, Hiv, Diagnostic Lap plus D&C, peritoneal biopsy