Margaret is a 13-year-old teenager who started menstruating at age 12. Since then, she has had excessively heavy and painful periods that can last 7 to 10 days. Today, she is in the office complaining of weakness and fatigue. She is much more pale than usual. Her eyes look sunken. She says she just finished her period. It lasted eight days and was once again very heavy. A STAT CBC shows H&H are
very low. In fact, her hemoglobin is 5. She is being sent to the hospital for a transfusion. She is also being given a referral for a work-up at our gyne clinic.
Dx. Chronic blood loss anemia due to pubertal menorrhagia
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
First-listed diagnosis: ________
Answer: Chronic blood loss anemia – D50.0
Secondary diagnoses: ________
Answer: Pubertal menorrhagia – N92.2
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