Mid-cycle, painful, heavy, passing clots indicates which symptom category?

• A. Bleeding (Genitourinary)
• B. Wound
• C. Discharge (Genitourinary)
• D. Rash

Answer: (A)

The main idea is how to map patient-reported symptoms to the correct body system category. Describing mid-cycle, painful, heavy vaginal bleeding with clots points to blood loss from the genital tract. That fits under Bleeding (Genitourinary) because the dominant issue is active bleeding rather than non-blood discharge, a skin issue, or a wound. Discharge would involve mucus or other non-blood vaginal secretions; a wound refers to an injury or surgical site; a rash is a skin eruption. So the heavy bleeding with clots clearly aligns with genitourinary bleeding.