Women's health buzzz Flashcards
boggy uterus, deep pelvic pain, menorrhagia, middle aged woman, Venetian blind appearance
adenomyosis
primary amenorrhea + u/s shows no uterus or ovaries presence of testicles cannot be excluded
androgen insensitivity syndrome
recurrent miscarriages, previous VTE, SLE
antiphospholipid syndrome
secondary amenorrhea post multiple uterine procedures
ashermans syndrome
positive whiff test, grey discharge, fishy odour, clue cells
bacterial vaginosis
lumps at 5 and 7 o’clock
bartholin cyst
cottage cheese like discharge, pseudophyae on KOH test, satellite leisons, COCP use, pregnant, diabetes
candidas
IMB, PCB and Ph of non compliance with CST
Cervical cancer
syncope, haemohynamic instability/bradycardia +PV bleeding + abdo pain + POC at cervical os
Cervicogenic shock
Rokitansky protuberance
dermoid cyst
PMB bleeding, nulliparity, obesity, early monarch/late menopause
endometrial cancer
deep dyspareunia, dysmenorrhea, dyschezia, dysuria, thickened uteroscaral ligament, chocolate cysts, kissing ovaries, guitar strong utereoscaral ligamed, fixed retroverted y=uterus
endo
PID, perihepatitis, liver capsular adhesions
Fitz-Hugh-Curtis curtis syndrome
elevated inhibin
granulose cell tumor
gonorrhoea
unprotected sex + purulent discharge
new sexual relationship + UTI symptoms (pelvic pain, dysuria, frequency)
honeymooner’s cystitis (strap saprophyticus)
primary amenorrhea, cyclical pelvic pain, hematocolpos sign
imperforate hymen
small testicles
kleinfelter’s syndrome
primary amenorrhea + anosmia
kallmann syndrome
signet ring cells, bowel obstruction, ovarian tumor
krukenberg tumor
white, dry vulval patches, vulvual itching, dysparenuia
lichen sclerosus
pleural effusion (right sided, ascites + ovarian mass
megs syndrome
primary amenorrhea + normal breast and pubic hair+ US showing ovaries but no uterus
MRKH
sudden onset lower abdo pain + nausea and vomitng, whirlpool sign on U/S and string of pearls sign
ovarian torsion
irregular menses/amenorrhea, obesity, acne
PCOS
hx of STIs and deep pelvic pain, vaginal discharge, chandelier’s sign (cervical motion tenderness)
PID
sensation of dragging, leaking, lump Hx of NVDs, digitation, dyspareunia, ulceration
pelvic organ prolapse
digitation to defecate
rectocele
non painful ulcer, chancre
syphillus
frothy yellow/green discharge + foul smelling strawberry cervix
trichomonas
loss of urine associated with actions that cause increased AP pressure (coughing, sneezing, lifting weights), history of NVDs
stress incontinenece
death in pregnancy + fatal cells in mothers lungs
amniotic fluid emobolism
pruitis (with no evident rash, usually palms and soles of feet and worse at night + deranged LFTS
cholestasis of pregnancy
sensorineural deafness, cataracts, cardiac malformations, blueberry muffin leison
congenital rubella
variable decelerations on CTG
Cord compression
lamba sign
DCDA
tender abdomen postpartum fever, achy, offensive loch, PV bleeding
endometritis
symptoms of preggo + HCG and empty uterus, donut sign
ectopic
vagal shock and a mass at Introits
uterine inversion
uterine scar + sudden cessation in contractions _ severe abdominal pain + loss of station of presenting part + CTG
uterine rupture
barbers pole, umbilical cod, hutichsons teeth, mulberry molars, sabre shins
syphilus in pregnancy
post partum galactorrhea, panhypopituriatirsm, past hx of severe PHH
Sheehan syndrome
turtle neck sign(retraction of head), gestational diabetes, maternal pelvic disproportion
shoulder dystocia
severe FGR, severe oligohydraminos, no fetal bladder on morphology US
renal agencies
sudden gush of clear or pale yellow fluid from vagina, fluid in the posterior fornix
P-PROM
peaks at 3rd to 4th day postpartum, mood, swings, crying and anxiety
post partum blues
snow storm on US, high BCH,e exaggerated pregnancy symptoms(hypermemsis, early pre-eclampsia, elevated SFH)
molar preg
T sign
MCDA
gestational HTN + headache and or visual disturbances, hyperreflexia + clonus
immient eclampsia
woody hard uterus, maternal cocaine use, PET, hypertonic uterus back pain and shock
placental abruption
periventricular calcifications
congenital CMV
intracranial calcifications, hydrocephalus, choriorentinitis
toxoplasmosis
