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FLUXUS
STEP 1
Fluxus : cairan (darah/lendir)yang keluar dari vagina dalam jumlah
yg banyak , misal : nifas yang berkepanjangan
STEP 2
1. How the cycles of normal menstruation?
2. Why she had menstruation over 15 days ?
3. Why she complained that she had irregular menstrual cycles ,
sometimes twice in a month ?
4. Why she had abdominal pain ?
5. Why she had frequent foul-smelling vaginal discharge between
menstrual cycles ?
6. Correlation her mother died cause by cervical cancer and her
condition ?
7. What the correlation between general physical examination
(anemic and obese )?
8. What the interpretation of HCG test (-)?
9. What the correlation her age and her condition ?
10.
What the interpretation of gynecologi examination ?
11.
Why the doctor considered to do USG and histopatologi
examination ?
12.
DD?
STEP 3
1. How the cycles of normal menstruation?
3 aspek about cycles haid :
- Distance 21-35 hari
- Long time normal 2-8 hari
- Volume of blood 40- 80 cc
The women normal menarche usia 9-16 tahun
Fase luteal normal 14 hari
2. Why she had menstruation over 15 days ?
There a many etiology :
-hiperplasi endometrium
-defisiensi platelet
-Mioma uteri
-polip
STEP 4
Wanita 32
thn G0P0A0