Administer Rh(D) immune globulin (300 mcg IM) . Also give after any potentially sensitizing event (e.g., abortion, amniocentesis, trauma) and within 72 hours of delivery of an Rh-positive newborn.
AUB-O (Ovulatory dysfunction) – but in a 45-year-old, must rule out structural causes. Actually, this describes menorrhagia (heavy menstrual bleeding) with regular cycles. PALM-COEIN: AUB-O if anovulatory; AUB-L (leiomyoma) if fibroids present. Workup: endometrial biopsy, pelvic ultrasound. obstetrics and gynaecology questions and answers pdf
Digital cervical examination. This can provoke catastrophic hemorrhage. Management is C-section. Administer Rh(D) immune globulin (300 mcg IM)
Excisional procedure (LEEP or cold knife cone). For CIN 2-3, observation is not recommended in a non-pregnant adult. If margins involved → repeat excision or follow-up. must rule out structural causes. Actually