A 66-year-old nulliparous woman who underwent menopause at 55 years complains of a 2-week history of vaginal bleeding. Prior to menopause, she had irregular menses. She denies the use of estrogen replacement therapy. Her medical history is significant for diabetes mellitus controlled with an oral hypoglycemic agent. On examination, she weighs 190 lb, height is 5 ft 3 in, BP is 150/90 mm Hg, and the temperature is 99°F (37.2°C). The heart and lung examinations are normal.
The abdomen is obese, and no masses are palpated. The external genitalia appears normal, and the uterus seems to be of normal size without adnexal masses. What can be the next step in the diagnosis and management of the patient? NOTE: No other information about the patient is available. *This Case Challenge is from the Editorial Team of Docplexus and is meant for educational purposes only. ##Disclaimer## The content…
