An elevated CA-125 in a postmenopausal woman with symptoms like abdominal bloating raises significant concern for ovarian cancer, as benign causes of elevation (like endometriosis) are less common in this group. The appropriate next step is NOT to diagnose cancer based on the marker alone, but to initiate a proper diagnostic workup. This includes a thorough physical exam (including pelvic exam) and imaging, most commonly a transvaginal ultrasound, to evaluate the ovaries and pelvis for masses.

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Zambia

• ivwananji siwale – 29 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies