Differential diagnoses and investigations in gynaecology Flashcards
1
Q
Menorrhagia differential diagnosis
A
Dysfunctional uterine bleeding (most common)
Fibroids Adenomyosis/Endometriosis Copper coil Clotting disorders Thyroid disorders PID
2
Q
Secondary amenorrhoea differential diagnosis
A
Pregnancy
Menopause
Premature ovarian insufficiency
PCOS
Physiological stress e.g. due to excessive exercise, low body weight, chronic disease
Excessive prolactin, from a prolactinoma
Thyroid problems
Hormonal contraceptives
3
Q
Dysmenorrhoea (painful periods) differential diagnosis
A
Primary dysmenorrhoea (no underlying cause)
Endometriosis/adenomyosis
PID
Fibroids
4
Q
Post-coital bleeding differential diagnosis
A
Cervical cancer Cervical ectropion Cervical polyp Atrophic vaginitis Infection e.g. chlamydia Endometrial cancer
5
Q
Inter-menstrual bleeding differential diagnosis
A
Endometrial polyps POP Endometrial cancer STIs Cervical ectropion, polyps or cancer
6
Q
Post-menopausal bleeding
A
Endometrial cancer
Endometrial or cervical polyp
Atrophic vaginitis
STIs
7
Q
Pelvic pain differential diagnosis
A
Endometriosis PID Ectopic pregnancy Ovarian cysts Ovarian torsion Dysmenorrhoea IBS/IBD/UTI
