Histories Flashcards
Differentials for Pelvic Pain
PID (secondary to STI) Ectopic or miscarriage Appendicitis Cystitis Pyelonephritis OVARIAN TORSION (or cyst or rupture) Fibroids Endometriosis IUCD Cervical Ca Dysmenorrhoea (normal) Diverticulitis IBS
What are the key questions to ask in a gynae systems review?
PV bleeding
Pelvic pain
PV discharge
Pregnant?
Differentials for dyspareunia?
PID - STI Endometriosis IUCD IBS Atrophic Vaginitis Vaginismus Vulvitis Vulval Eczema Pelvic Mass Cystitis
What would you expect a patient to have who complains of cottage cheese like, thick discharge with itching down below?
Candida - remember common in pregnancy
What would the discharge look like in a patient with Trichomonas?
Frothy green, musty smell
May also have a strawberry cervix
Differentials for inter-menstrual bleeding?
Fibroids Polyp Ectropion Endometrial Ca PID
Differentials for post-coital bleeding?
Ectropion
STI
Cervical Ca
Cervical Polyp
Differentials for post-menopausal bleeding?
Endometrial Ca
Atrophic Vaginitis
Differentials for post-menopausal bleeding?
Endometrial Ca
Atrophic Vaginitis
Differentials for secondary amenorrhoea?
PCOS Pregnancy Primary Ovarian Failure (menopause) Cushing's Syndrome Thyroid Disease Hyperprolactinaemia Hypothalamic Amenorrhoea
Differentials for PV Discharge?
PID - Endometritis Fibroid Degeneration Chlamydia BV Thrush Gonorrhoea Trichmonas Physiological (normal)
What kind of symptoms would someone get with chlamydia?
Yellow discharge
Deep dyspareunia
Pelvic pain
Post-coital bleeding
What symptoms would someone get with BV?
Thin, grey, fishy smelling PV discharge
Worse after sex or periods
What symptoms would someone get with Gonorrhoea?
Yellow/green discharge
Fever
Pelvic Pain
Differentials for infertility?
Menopause Pregnancy PCOS PID Previous tubal surgery Male factors Idiopathic Endometriosis Cervical polyp or stenosis Hyperprolactinaemia Hypothalamic amenorrhoea
