April 6, 2009

Pain on SI

A 22-year-old nulliparious woman has recently become sexually active. She consults you because of painful coitus, with the pain primarily located at the vaginal outlet. It is accompanied by painful involuntary contraction of the pelvic muscles. [Taken and modified from question 2-27, Pretest: Clinical Vignettes, for the USMLE Step 2, McGraw-Hill Medical Publishing Division PreTest® Series, 2001]

1)What other history you would like to ask?
2)Outline the pathophysiology of painful involuntary contraction of the pelvic muscles

for answer to this question, please click [here]

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Ya Allah! Permudahkanlah aku untuk menuntut ilmuMu, memahaminya, mengingati dan menyebarkannya. Berkatilah ilmu itu dan tambahkanlah ia. Amin.