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CLINICIAN’S CORNER
An 80-Year-Old Woman With Vaginal Prolapse
Geoffrey W. Cundiff, MD, Discussant
JAMA. 2005;293:2018-2027.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
DR SHIP: Mrs H is an 80-year-old woman with Medicare insurance who recently began feeling tissue coming out of her vagina. She called to make an appointment to see her longtime gynecologist.
She feels generally well and lives with her husband of more than 50 years. She has systolic hypertension and osteoporosis. Decades ago, Mrs H had 4 vaginal deliveries of healthy, term infants. She has had regular Papanicolaou smear screening, but her most recent smear showed atypical cells of undetermined significance. It was her first abnormal smear. She denies vaginal bleeding or urinary incontinence; she does experience some urinary urgency. Her bowels are regular. She is sexually active, without dyspareunia or other problems.
Her medications include enalapril, hydrochlorothiazide, and alendronate. A daughter and sister have been diagnosed with breast cancer. She has good exercise tolerance, is very active, and . . . [Full Text of this Article]
MRS H: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR CUNDIFF
Pathophysiology Epidemiology Evaluation History Physical Examination Ancillary Tests Therapeutic Options Future Areas of Research Recommendations for Mrs H
QUESTIONS AND DISCUSSION
AUTHOR INFORMATION
Author Affiliation: Dr Cundiff is a Professor of Gynecology and Obstetrics at Johns Hopkins School of Medicine and serves as the Chair of the Department of Obstetrics and Gynecology at Johns Hopkins Bayview Medical Center, Baltimore, Md.
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