How to Answer Group Scenario Lisa Questions (Complete Guide)

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Key Explanation

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Original Question

Group 1 Scenario: Lisa is a 21 year old female presenting for evaluation of worsening painful menses. Onset of symptoms for about 8-9 months. Menarche at age 11. Menses occur irregularly as soon as every 23 days but as late as every 40 days. She describes her flow as very heavy, changing pads/ tampons every 2-4 hours for most days of her 7 day cycle. She describes symptoms “feel like it’s heavier and more painful” the past 2 cycles than ever before. Pain is present in the lower pelvis and radiates to her low back. She is sexually active with a male partner, without use of condoms, OCPs or other barrier methods and reports some dyspareunia. She denies any urinary frequency, burning, or nocturia give me three differential diagnosi

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