Gyn Flashcards
0
Q
Questions for Hx to ask patient with amenorrhea
A
Any previous menstruation? Sexual history? Recent infection? Exercise, eating habits, emotional status? Androgynous symptoms? FHx? Thyroid Sx?
1
Q
Amenorrhea
-DDx
A
DDx:
Primary: HPA dz, anatomical abnormality, chromosomal anomalies
Secondary ======== Pregnancy* Anatomical abnormality* HPA Axis disorder* Anovulation HyperPRL UTI Thyroid disease PCOS Menopause Anorexia nervosa Anxiety Exercise-induced
2
Q
Labs for amenorrhea
A
Beta-hCG TSH PRL, FSH, LH T and DHEA US pelvis CBC/BMP UA Pap smear
3
Q
DDx vaginal bleeding
A
Cervical cancer Endometrial cancer Atrophic vaginitis Spontaneous abortion Endometrial hyperplasia
4
Q
DDx and work up for vaginal discharge
A
Bacterial vaginosis Candidal vaginitis (cottage cheese, order less) Trichomonal vaginitis (green-yellow, malodorous)
Pelvic exam
Wet mount
KOH prep
Ph vaginal fluid
