Repro Flashcards
Frothy, clear - white or yellow-green to gray adherent vaginal discharge, dysuria, vaginal pruritis. Vulvar and cervical erythema. Flagellated protozoa
Trichomonas
Fishy odor, thin grayish vaginal discharge, clue cells
Bacterial vaginosis; gardnerella vaginalis
Thick white vaginal discharge, hyphae and buds on KOH prep
Candida
Postmenopausal, dyspareunia, thin vaginal discharge, atrophic vulvar changes, vaginal petechiae
Atrophic vaginitis; T = topical estrogen
Secondary amenorrhea
Pregnancy
Female with acute abdominal pain. No characteristic acute abdomen pattern
ectopic pregnancy
20yo female with rubbery, firm, well-circumscribed, non-tender breast lesion, doesn’t change with cycle
Fibroadenoma
30-50yo female, painful, multiple bilateral breast masses that increase in pain and size before menses
Fibrocystic breast disease
Breast mass, nipple retraction, bloody nipple discharge
Breast cancer (mass is most common presenting clinical manifestation)
Overweight, irregular menstrual cycles (poss. amenorrhea), elevated blood sugar, hirsutism
PCOS (stein-leventhal syndrome)
Adolescent female with midcycle pain alternating from left to right side. Relieved with NSAIDs
Mittelschmerz
Dysmenorrhea, dyspareunia, dyschezia. Uterus is fixed, retroflexed. Cyclic pelvic pain. May have palpable pelvic mass
Endometriosis. Palpable pelvic mass - “chocolate cyst”
Pregnant
Nagel’s rule: LMP + 7 - 3 mos
Pregnant, seizures
Eclampsia
3rd trimester painless vaginal bleeding
placenta previa
Pregnant <20 weeks gestation with vaginal bleeding, abd and pelvic pain. Blood from closed cervical os
Threatened abortion
Pregnant <20 weeks gestation with vaginal bleeding, abd and pelvic pain. Tissue at or said to be passed from open cervical os
Incomplete abortion (complete abortion will have empty uterus, complete passage of fetal tissue, pain resolves after passage of tissue)
Pregnant who drinks during pregnancy and inadequate peri-natal care
fetal alcohol syndrome - low birth weight
Postpartum hemorrhage
Uterine atony. Tx = uterine massage
HCG lower than expected
Ectopic pregnancy
Postmenopausal vaginal bleeding
Endometrial CA - do endometrial biopsy
Postmenopausal adnexal mass
Ovarian CA
HCG higher than expected
Molar pregnancy
Two most common causes of chronic pelvic pain
adhesions and endometriosis
Most common anemia of pregnancy
iron deficiency
Leading cause of non-OB maternal mortality
PE from DVT
Findings of Pre-eclampsia
HTN, edema, proteinuria
Organism causing mastitis
staph aureus
