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