a 43 year old obese woman....

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Winner. I don't think I have ever had a different diagnosis. Even if the hCG is increasing, I'd still think it is gallstones.
 
imtiaz said:
fertile, fat, female, forty.

Imtiaz,

you only get an 80%. There are actually 5 F's for this presentation:

Fertile, Fat, Female, Forty, and F'able.

😍
 
Polycystic Ovary (Stein-Leventhal)

Amenorrhea, infertility, obesity, hirsutism -- Prom date 😱
 
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