gynae osce vibes Flashcards
post coital bleeding
cervical cancer
cervical ectropion
cervical polup
post menopausal bleeding
endometrial ca
atrophic vaginitis
HRT
endometrial hyperplasia
intermenstrual bleeding
polyp - endo / cerv endemetrial ca cervical ca PID ectopic pregnancy miscarriage spotting - 14 day, implant
heavy periods
dysfunctional uterine bleeding
cancer
fibroids
endometrial polyps
regular and heavy:
- adenomyosis, endomtriosis
- iatro - copper coil, warfarin
- bleeding disorder
irreg and heavy:
- PID
- hypothyroidism
amenorrhoea / oligomenorrhora
2ary—
- pregnancy
- contraception
- PCOS
- menopause / premature
- hypogonadotrophic hypogonadism
- hyperprolactinoma
- thyroid
subfertility
general / sex / physical
anovulation
female tubal disease
male problem
discharge
gonorrhoea - green yellow
chalmidya - copious purulenst
(both have non cyclic deep dyspareunia)
trichomonas vaginalis - copious FROTHY green / grey discharge
candidiasis - itchy, thick white cottage cheese
bacterial vaginosis - grey/white, thin, fishy. NOT itchy
foreign body
cancer - red brown bad smelling
urinary incontinence
stress
urge
overactive bladder
mixed
early pregnancy bleeding
10-14 implantation miscarriage ectopic pregnancy molar pregnancy PID
could be cervical ectopion or ca
pelvic pain - acute
acute ectopic miscarriage ovarian cyst indcident PID non gynae - appen, UTI, renal stone
pelvic pain - chronic
endometriosis
adenomyosis
PID chronic
non gynae - IBS, adhesions, interstitial cystitis
pelvic mass
fibroids ovarian ca ovarian cyst / benign ovarian mass endometriosis pregnancy / ectopic hydrosalpinx in PID
dysmennorrhoea / painful periods
1ary dismennhoea - if nothing caused
secondary when due to pathology
endometriosis
adenomyosis
fibroids
PID, pelvic adhesions
menopause and HRT
what to say
what to give
-- contraception for 2yr / 1 (50yr) vasomotor - SSRI vaginal - lubricants, moisturiser mood - SSRI fluoxetine
emergency contraception
consultation
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