Gynae

Question 1

Pain

Answer 1

Dysmenorrhoea
Ovarian - cyst/torsion/intermittent torsion
Infection - PID/Tubo ovarian abscess
Endometriosis
Mittelschmerz
GI / urinary causes

Question 2

Ovarian cyst pain

Answer 2

sharp severe, then generalised ache

Question 3

ovarian torsion pain

Answer 3

sharp pain, unremitting

Question 4

Intermittent torsion pain

Answer 4

on and off sharp pain over period of time

Question 5

PID signs/pain

Answer 5

discharge, prev STIs, new/multiple sexual partners

Question 6

Tubo-ovarian abscees presentation

Answer 6

fevers, coil insitu, discharge, prev STI, new sexual partners

Question 7

What to ensure in case of Ectopic pregnancy (when feeling pain)

Answer 7

BhCG taken (detects pregnancy
helps rule it out/

Question 8

Mittelschmerz

Answer 8

one-sided, lower abdominal pain associated with ovulation. it occurs midway through a menstrual cycle — about 14 days before your next menstrual period.

Question 9

Bleeding

Answer 9

menorrhagia / DUB (dysfunctional uterine bleeding)

Post-coital

Intermenstrual

PMB

Contraception

Fibroids

Question 10

Post-coital is often ______ in origin

Answer 10

cervical

Question 11

PMB Post menopausal bleeding

Answer 11

• Endometrial ca until proven otherwise

- Endometrial thickness >5mm = abnormal in post-menopause.

Question 12

Prolapse

Answer 12

urinary incontinence, sensation of dragging, seen/felt