Common gynae histories - PV bleeding Flashcards
1
Q
What would you ask about PV bleeding?
A
- Time - duration, progression, onset, pattern
- Type - menorrhagia, intermenstrual, post-coital, post-menopausal
- Bleeding - quantity, pain, anaemia symptoms, thyroid symptoms
2
Q
What would you ask about in terms of quantity of PV bleeding?
A
- Number of sanitary towels/tampons
- Passage of clots
- Flooding
3
Q
What general symtpoms would you want to ask about on systemic enquiry?
A
- Fever
- Sweats
4
Q
What gynaecological features would you ask about on systematic enquiry?
A
- Pain
- Pregnancy
- PV discharge
5
Q
What are causes of menorrhagia?
A
- Dysfunctional uterine bleeding
- Fibroids
- Endometriosis
- PID
- IUD
- Endometrial/cervical polyp
- Endometrial cancer
- Contraception
- Non-gynae - bleeding dyscarias
6
Q
What are causes of intermenstrual bleeding?
A
- Mid-cycle drop in oestrogen levels
- Endometrial/cervical polyps
- Ectropian
- Endometrial carcinoma
- Carvicitis/vaginits
- Hormonal contraception
- IUD
- Pregnanyc related
- PID
7
Q
What are causes of post-coital bleeding?
A
- Cervical trauma
- Cervical polyps
- Cervical carcinoma
- Vaginal carcinoma
- Cervicitis/vaginitis
- PID
8
Q
What are causes of post-menopausal bleeding?
A
- Endometrial carcinoma
- Atrophic vaginitis
- Foreign bodies
- Cervical/vulval carcinoma
- Cervical/endometrial polyps
- Oestrogen withdrawal
