Histories Flashcards

1
Q

Differentials for Pelvic Pain

A
PID (secondary to STI)
Ectopic or miscarriage
Appendicitis
Cystitis
Pyelonephritis
OVARIAN TORSION (or cyst or rupture)
Fibroids
Endometriosis
IUCD
Cervical Ca
Dysmenorrhoea (normal)
Diverticulitis
IBS
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2
Q

What are the key questions to ask in a gynae systems review?

A

PV bleeding
Pelvic pain
PV discharge
Pregnant?

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3
Q

Differentials for dyspareunia?

A
PID - STI
Endometriosis
IUCD
IBS
Atrophic Vaginitis
Vaginismus
Vulvitis
Vulval Eczema
Pelvic Mass
Cystitis
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4
Q

What would you expect a patient to have who complains of cottage cheese like, thick discharge with itching down below?

A

Candida - remember common in pregnancy

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5
Q

What would the discharge look like in a patient with Trichomonas?

A

Frothy green, musty smell

May also have a strawberry cervix

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6
Q

Differentials for inter-menstrual bleeding?

A
Fibroids
Polyp
Ectropion
Endometrial Ca
PID
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7
Q

Differentials for post-coital bleeding?

A

Ectropion
STI
Cervical Ca
Cervical Polyp

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8
Q

Differentials for post-menopausal bleeding?

A

Endometrial Ca

Atrophic Vaginitis

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9
Q

Differentials for post-menopausal bleeding?

A

Endometrial Ca

Atrophic Vaginitis

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10
Q

Differentials for secondary amenorrhoea?

A
PCOS
Pregnancy
Primary Ovarian Failure (menopause)
Cushing's Syndrome
Thyroid Disease
Hyperprolactinaemia
Hypothalamic Amenorrhoea
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11
Q

Differentials for PV Discharge?

A
PID - Endometritis
Fibroid Degeneration
Chlamydia
BV
Thrush
Gonorrhoea
Trichmonas
Physiological (normal)
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12
Q

What kind of symptoms would someone get with chlamydia?

A

Yellow discharge
Deep dyspareunia
Pelvic pain
Post-coital bleeding

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13
Q

What symptoms would someone get with BV?

A

Thin, grey, fishy smelling PV discharge

Worse after sex or periods

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14
Q

What symptoms would someone get with Gonorrhoea?

A

Yellow/green discharge
Fever
Pelvic Pain

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15
Q

Differentials for infertility?

A
Menopause
Pregnancy
PCOS
PID
Previous tubal surgery
Male factors
Idiopathic
Endometriosis
Cervical polyp or stenosis
Hyperprolactinaemia
Hypothalamic amenorrhoea
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