A woman attends an SRH service requesting a repeat supply of her COC. She reports recent onset of right hypochondrial pain. On examination, she has he...

Question

A woman attends an SRH service requesting a repeat supply of her COC. She reports recent onset of right hypochondrial pain. On examination, she has hepatomegaly. What is the most important action?

Accepted Answer

Stop the COC immediately and arrange urgent investigation for hepatic pathology; hepatocellular adenoma should be considered

Answer

Continue the COC and arrange an outpatient ultrasound in 6 weeks

Answer

Reduce the COC dose

Answer

Switch to the combined patch

Answer

Prescribe analgesia and continue the COC

uk-dfsrh MCQ (SBA): CHC Hepatomegaly Urgent Investigation

A woman attends an SRH service requesting a repeat supply of her COC. She reports recent onset of right hypochondrial pain. On examination, she has hepatomegaly. What is the most important action?