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Step 2 CS - Cases > Case 15 - 36 yo F with menstrual problems > Flashcards

Case 15 - 36 yo F with menstrual problems Flashcards

1
Q

Physical examination

A 
Neck exam (thyroid gland)
CV exam
Pulmonary exam
Extremities
Neurologic exam (visual fields, extraocular movements, checked DTRs)
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2
Q

Differential diagnosis

A

Hypothyroidism
Prolactinoma
Premature menopause

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3
Q

Closure

A

Mentioned need for pelvic and breast exams

Perform urine pregnancy test

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4
Q

Differential diagnosis

A

Pregnancy
Hyperprolactinemia
Polycystic ovarian syndrome

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5
Q

Diagnostic work-up

A 
Urine hCG
Pelvic and breast exams
Prolactin, TSH
LH/FSH
Electrolytes (high sodium and low potassium in hypercotisolism)
Testosterone, DHEAS
MRI - brain
Hysteroscopy
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6
Q

Symptoms of menopause

A

Fatigue, insomnia, HA, diminished libido, depression, hot flashes

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7
Q

Asherman’s syndrome

A

Amenorrhea due to endometrial scarring, which can occur following uterine infections

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Step 2 CS - Cases (44 decks)

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