PV bleeding Flashcards
Think about differentials
1
Q
Differentials for menorrhagia
A
Dysfunctional uterine bleeding Fibroids Endometriosis PID IUD Endometrial/cervical polyps Endometrial carcinoma Hypothyroidism Blood disorders
2
Q
Intermenstrual
A
Endometrial/cervical polyps Ectropion Cervicitis/vaginitis Hormonal contraception IUD Pelvic inflammatory disease
3
Q
Post-coital
A
Cervical trauma Cervical polyps Cervical carcinoma Vaginal carcinoma Cervicitis/vaginitis Pelvic inflammatory disease
4
Q
Post-menopausal
A
Endometrial carcinoma Atrophic vaginitis Foreign bodies Cervical/vulva carcinoma Cervical/endometrial polyps Oestrogen withdrawal
5
Q
What types of pain in a history
A
Pelvic pain, dysmenorrhoea, dyspareunia
6
Q
Bleeding history
A
Ask about Pattern Quantify loss Pain - vaginal dryness and itching Anaemia symptoms Thyroid symptoms
