USMLE Step 2 Quiz
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SURGERY AND TRAUMA
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A 60-year-old woman had an abdominal hysterectomy 3 weeks ago. She now complains of continuous watery vaginal discharge that soaks multiple pads per day. She denies fever, abdominal pain, or urinary urgency. Speculum exam shows clear fluid pooling in the vagina. Creatinine concentration of the vaginal fluid is 12 mg/dL (serum creatinine 0.9 mg/dL). Which of the following is the most likely diagnosis?
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