Gynecologic Tract and Breast: 69 y/o woman with vaginal bleeding
Clinical Presentation:
69 year old woman with a history of diabetes and hypertension presents with a complaint of vaginal bleeding. Her last PAP smear was done a year ago and was normal. The patient is postmenopausal and is on estrogen replacement therapy. On physical examination, traces of blood can be seen in the vaginal vault. The cervix is unremarkable and no other abnormality is noted. A PAP smear is performed.