Case 16 - 28 yo F with pain during sex Flashcards
1
Q
Physical examination
A
CV exam
Pulmonary exam
Abdominal exam
2
Q
Closure
A
Mentioned need for a pelvic exam
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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)
4
Q
Diagnostic work-up
A
Pelvic exam
Wet mount, KOH prep, “whiff test”
Cervical cultures (chlamydia and gonorrhea DNA probes)
Laparoscopy