Case 16 - 28 yo F with pain during sex Flashcards

1
Q

Physical examination

A

CV exam
Pulmonary exam
Abdominal exam

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2
Q

Closure

A

Mentioned need for a pelvic exam

Do you have any questions for me?

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3
Q

Differential diagnosis

A

Vulvovaginitis (white vaginal discharge with fishy odor, pruritis)
Cervicitis (unprotected intercourse, dyspareunia, discharge)
Endometriosis (dysmenorrhea, dyspareunia)

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4
Q

Diagnostic work-up

A

Pelvic exam
Wet mount, KOH prep, “whiff test”
Cervical cultures (chlamydia and gonorrhea DNA probes)
Laparoscopy

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