First Aid CS Cases Flashcards
Amenorrhea:
Important history questions (5)
- exercise/anorexia
- surgeries
- pregnancies/contraception
- drugs/meds
- uterine infections
Amenorrhea:
Important associated symptoms (5)
- H/A, vision change
- galactorrhea
- hirsutism, virlization
- hot flashes, vaginal dryness
- thyroid disease sx
40 y/o with 6 weeks amenorrhea + polyurea:
Differential diagnosis (4)
1) Pregnancy
2) Anovulatory cycle
3) UTI
4) Hypothyroid, Hyperprolactinemia
23 y/o with 6 months amenorrhea and facial hair:
Differential (5)
1) PCOS
2) thyroid/prolactin
3) pregnancy
4) ovarian/adrenal malignancy
5) premature ovarian failure
35 y/o amenorrhea + galactorrhea:
Differential diagnosis (3)
1) prolactinoma
2) thyroid disease
3) pregnancy
Labs to draw in case of amenorrhea
HCG
LH/FSH
TSH
PRL
+- DHEA/testosterone
Key history questions for vaginal bleeding (7)
Menstrual history Assc discharge/pain Urinary symptoms Trauma Meds Bleeding disorder Abnormal paps
17 y/o with prolonged excessive menstrual bleeding:
Differential (4)
- Dysfunctional uterine bleeding
- Coag disorder
- Molar pregnancy
- Thyroid, DM
61 y/o post menopausal obese woman with vaginal bleeding:
Differential (3)
1) Endometrial cancer/hyperplasia/polyps
2) Cervical cancer
3) Atrophy- vaginal vs endometrial
45 year old with post coital bleeding:
Differential (5)
1) Cervical cancer
2) Cervicitis
3) polyps
4) endometrial cancer
5) trauma
28 year old at 8 weeks pregnant with vaginal bleeding:
Ddx (3)
Molar pregnancy
SAB
Ruptured ectopic
32 year old with ((sudden)) left lower abdominal pain:
Ddx
1) ruptured ectopic
2) ovarian torsion/ruptured cyst
3) PID, appendicitis
Vaginal Discharge:
Key exams (5)
Pelvic exam Whiff pH Wet mount Cervical cultures
28 year old with grey/white foul discharge: most likely diagnosis
BV
30 year old with thick white discharge + pruritis- most likely diagnosis
Vaginal candidiasis
