Vaginal Bleeding Flashcards
1
Q
Key History
A
Pre vs Postmenopausal status Duration Amount Menstrual history and relation to LMP Associated with discharge Pelvic or abdominal pain Urinary symptoms Trauma Medications History of easy bleeding History of abnormal Pap smears
2
Q
Key medicaitons
A
Blood thinners
Contraception
3
Q
Key Physical Exam
A
Vital signs
Abdominal exam
Complete pelvic exam
4
Q
20 yo Female
Prolonged, excessive, and irregular
6 months
A
Dysfunctional uterine bleeding Coagulation disorder- PT/PTT Cervical cancer- Pap smear Molar pregnancy- Urine hCG Hypothyroidism- LH/FSH, TSH, & Prolactin Diabetes mellitus- Glucose
Cervical culture
CBC
ESR
US- pelvis
5
Q
60 yo
A
d
