Vaginal Bleeding Flashcards
17yo F presents with prolonged, excessive menstrual bleeding occurring irregularly within the past 6 months.
DYSFUNCTIONAL UTERINE BLEEDING coagulation (e.g. Von willebrand's disease, hemophilia) cervical cancer molar pregnancy hypothyroidism diabetes mellitus
urine hCG pelvic exam cervical culture pap smear cbc esr glucose pt/ptt LH/FSH
61yo obese F presents with profuse vaginal bleeding for the past month. Her last menstrual period was 10 years ago. She has a history of hypertension and diabetes mellitus. She is nulliparous.
ENDOMETRIAL CANCER cervical cancer atrophic endometrium endometrial hyperplasia endometrial polyps atrophic vaginitis
pelvic exam pap smear endometrial biopsy endometrial curettage U/S - pelvis colposcopy hysteroscopy
45yo G5P5 F presents with postcoital bleeding. She is a cigarette smoker and takes OCPs
CERVICAL CANCER endometrial cancer cervical polyp cervicitis trauma
pelvic exam pap smear colposcopy and biopsy HPV testing endometrial biopsy
28yo F who is 8 weeks pregnant presents with lower abdominal pain and vaginal bleeding
SPONTANEOUS ABORTION
ectopic pregnancy
molar pregnancy
urine hCG quantitative serum hCG U/S - abd/pelvis pelvic exam cbc pt/ptt
32yo F presents with sudden onset of left lower abdominal pain that radiates to the scapula and back and is associated with vaginal bleeding. Her last menstrual period was 5 weeks ago. She has a history of pelvic inflammatory disease and unprotected intercourse.
ECTOPIC PREGNANCY
ruptured ovarian cyst
ovarian torsion
pelvic inflammatory disease
urine hCG quantitative serum hCG US abd pelvis pelvic exam cervical cultures
