Your patient is a 63-year-old postmenopausal female with complaints of bloating, left lower quadrant abdominal pain, and feeling of abdominal fullness. On physical examination, the abdomen is nontender with shifting dullness and there are enlarged left sided inguinal lymph nodes. Pelvic examination reveals slight adnexal tenderness. The clinician should have a high index of suspicion of:

Question

Quizplus · Accepted Answer

Ovarian cancer should be highly suspected in a postmenopausal female presenting with bloating, abdominal pain, feeling of fullness, and physical examination findings of shifting dullness and enlarged inguinal lymph nodes. These symptoms and signs are suggestive of a malignancy, with ovarian cancer being a common cause in this demographic and clinical context.

Your Patient Is a 63-Year-Old Postmenopausal Female with Complaints of Bloating