Sex DDx

Question 1

Dysmenorrhoea

Answer 1

Painful period due to uterine contractions

Can have lower back and abdominal pain, N&V

Or be a symptom

Question 2

Menorrhagie

Answer 2

Heavy menstrual bleeding, symptoms of Dx

Question 3

Intermenstrual bleeding

Answer 3

Bleeding between periods

Symptom, side effect if contraception

Question 4

Pre menstrual dysphoric disorder PMDD

Answer 4

Severe form of PMS

Fatigue, sore breasts, weight gain, insomnia, paranoid, suicidal

Question 5

Ectopic pregnancy

Answer 5

Egg implements outside of womb

PV bleed, pelvic pain, shoulder pain (blood leaks from fallopian tube) can rupture and lead to shock

Question 6

Ovarian torson

Answer 6

Ovary twists around ligaments and can cut off circulation

N&V, fever, PV bleed, pelvic pain

Question 7

Endometriosis

Answer 7

Tissue lining in uterus grows outside uterus

Dysmenorrhoea, painful sex, menorrhagie, intermenstral bleed

Question 8

Pre-eclampsia

Answer 8

HTN in pregnancy, with fluid retention

Headache, blurr vision, N&V

Question 9

Candidiasis

Answer 9

Yeast infection,

Painless itch, thick white discharge, vulva irritation

Question 10

Bacterial vaginosis

Answer 10

Imbalance of bacteria that naturally live in vagina

White or grey discharge, “fishy” smell

Question 11

Bartholin’s cyst

Answer 11

Bartholin’s gland obstructs and build-up fluid

Irritation, pain at vagina, inflammation

Question 12

Paraphimosis

Answer 12

Foreskin cannot be pulled over head of penis

Constriction, swollen penis gland, obstruction in urine

Question 13

Phimosis

Answer 13

Foreskin cannot retract

Question 14

Urethritis

Answer 14

Inflamed urethra

Painful pee, pruritis, discharge

Question 15

Testicular torsion

Answer 15

Twisting of spermatic cords

Sudden pain/swelling scrotum, abdominal pain, N&V

Question 16

Acute epididymo-orchitis

Answer 16

Swelling and inflammation of epididymis/testes normally due ti extension of urethra infection

N&V, fever, hx of STI/UTI

Question 17

Fournier’s gangrene

Answer 17

Necrotising fascists, affecting genitals

Swelling, pain, fever, pallor

Question 18

Testes cancer

Answer 18

Hard lump in testes, painless with localised discomfort

Question 19

BPH

Answer 19

Nocturia, urine retention, dribbling on pee. Not acute onset

Question 20

Prostatitis

Answer 20

Swelling and inflamed prostate form bacteria entering from urinary tract

UTI symptoms, Hx of STI

Question 21

Genital herpes

Answer 21

Type 2 refers to gentiles, passes by skin to skin contact with no need for blisters and can lay dormant.

Blisters, painful pee, unsafe sex

Question 22

Gonorrhoea

Answer 22

Can affect urine tract, anus, eyes, throat and female reproduce organs.

UTI symptoms, inflamed genitals, prurititis

Question 23

Chlamydia

Answer 23

Can have nil symptoms, infections in urethra, cervix, anus throat, eyes. Can lead to genital tract damage, PID, ectopic pregnancy, arthritis

Question 24

PID

Answer 24

Infection ascends vagina into pelvic reproduction organs, can be due to D&C. Can cause permanent damage.

Lower abdominal tenderness, menstrual disturbance, change in vaginal discharge

Question 25

Syphilis

Answer 25

Can lead to neuro syphilis. Starts with multiple sores painless for up too 6 wks then rashes on skin/mucosa membranes.

Swollen lymph nodes, hair loss, cachexia