XI.

PATHOPHYSIOLOGY
Predisposing Factors: -Female -43 years old (within 40-55 years of menopausal age) Precipitating Factor: -History of smoking for around 6 years -Occasional drinker -Easily gets stressed

Estrogen and Progesterone Imbalance

Mild anxiety related to surgical procedure

Fractional Curettage Result (September 11, 2011): -On endocervical curettage, obtained 0.05cc of whitish fleshy material. - On Endometrial curettage, obtained about 1cc of fleshy material and mixed with blood and is nonnecrotic and non-foul smelling.

Excessive production of estrogen HEMATOLOGY (September 10, 2011):

Thickening of endometrium on uterus Implantation of endometrium outside the uterus Abnormal Uterine Bleeding

Vaginal Bleeding

Decrease in RBC: 3.72 x1012/L (4.0-8.0 x1012/L)

Pressure on nerves at the hypogastric region Hypogastric pain

Loss of blood components Decrease in volume of circulating blood

Received 4 bags of Packed Red Blood Cells through transfusion Limited comprehension

Anemia

Sudden rise of blood pressure secondary to change in position

Prolonged Capillary Refill

Pallor

Risk for Injury

Knowledge Deficit related to blood transfusion

HEMATOLOGY (September 12, 2011):

HEMATOLOGY (September 12, 2011):

Decrease in Hemoglobin: 112gm/dL (120160gm/dL)

Decrease in Hematocrit: 35% (37-47%)

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