Unplanned

Female Reproductive System & Breast


0

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G7_F1.jpg"}},{"insert":"\n\n"},{"insert":"It is another sunny morning, and after a vigorous jog and hearty breakfast, you are once more in the family planning clinic. Even the large heap of files in front of you fails to dent your good mood.\n\nAs you pick up the file at the top, the first patient of the day walks in.\n"}]}

1

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G7_F2.jpg"}},{"insert":"\n\n"},{"insert":"Thirty-year-old Gretchen has been on the low-dose combined oral contraceptive pill for the past three and a half years.\n\nShe has a 5-year-old son, whom she delivered vaginally at term, with no complications. Her medical, surgical and gynecological histories are unremarkable. She does not smoke, drinks alcohol only occasionally, and is not on any other medications.\n\nGretchen has forgotten to take her pills for three consecutive days, because her son was ill, and she was busy taking care of him. Although she has not engaged in intercourse within the past 48 hours, she is sexually active, and does not desire a pregnancy. Naturally, she is worried.\n\nFurther questioning reveals that she is using biphasic pills, with 28 pills per pack, and that she is currently in the third week of the current pack.\n"}]}

2

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G7_F3.jpg"}},{"insert":"\n\n"},{"insert":"Gretchen asks you if she needs a backup method of contraception.\n\nHow do you respond?\n"}]}
1. "No, that is not necessary. Just make sure to complete the remainder of the course"
2. "Yes, you need emergency contraception"
3. "Yes, you need to use a barrier method for the next 7 days"

4

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5

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6

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3

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