RT Book, Section A1 Ship, Amy N. A2 Henderson, Mark C. A2 Tierney, Lawrence M. A2 Smetana, Gerald W. SR Print(0) ID 56855953 T1 Chapter 50. Abnormal Vaginal Bleeding T2 The Patient History: An Evidence-Based Approach to Differential Diagnosis, 2e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-162494-7 LK accessmedicine.mhmedical.com/content.aspx?aid=56855953 RD 2024/04/19 AB A 46-year-old woman comes to your office because she is concerned about heavy vaginal bleeding. Her menstrual cycle has not changed, but over the past year, she has noticed increasingly heavy periods, requiring many more pads than she previously used, and the passage of blood clots. Over the past 3 months, she has become very tired as well, prompting her visit today.