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12 Cards in this Set
- Front
- Back
Key History -
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Pre- vs. postmenopausal
duration amount menstrual history LMP associated discharge pelvic or abdom pain urinary Sxs trauma meds (esp. warfarin, OCPs) h/o easy bleeding or bruising h/o abnormal pap smears |
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Key PE -
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VS
abdominal exam complete pelvic exam |
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17 y/o F
presents with prolonged, excessive menstrual bleeding occurring irregularly over the past 6 months What is Differential? |
Dysfunctional uterine bleeding
coag d/o (von Willebrand's) cervical cancer molar pregnancy hypothyroidism diabetes mellitus |
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17 y/o F
presents with prolonged, excessive menstrual bleeding occurring irregularly over the past 6 months What is Workup? |
Pelvic exam
urine hCG cervical cultures, pap smear CBC, ESR, glucose PT/PTT prolactin, FSH/LH TSH US - pelvis |
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61 y/o F
presents with profuse vaginal bleeding over the past month. LMP was 10 years ago. H/O HTN and DM nulliparous What is Differential? |
Endometrial cancer
cervical cancer atrophic endometrium endometrial hyperplasia endometrial polyps atrophic vaginitis |
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61 y/o F
presents with profuse vaginal bleeding over the past month. LMP was 10 years ago. H/O HTN and DM nulliparous What is Workup? |
Pelvic exam
pap smear endometrial Bx US - pelvis endometrial curettage colposcopy hysteroscopy |
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45 y/o G5P5 F
with postcoital bleeding cigarette smoker takes OCPs What is Differential? |
Cervical cancer
cervical polyp cervicitis trauma (cervical laceration) |
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45 y/o G5P5 F
with postcoital bleeding cigarette smoker takes OCPs What is Workup |
Pelvic exam
pap smear colposcopy and Bx |
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28 y/o F
8 weeks pregnant presents with lwr abdom pain and vaginal bleeding What is Differential? |
Spontaneous abortion
ectopic pregnancy molar pregnancy |
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28 y/o F
8 weeks pregnant presents with lwr abdom pain and vaginal bleeding What is Workup |
Pelvic exam
urine hCG US - pelvis CBC, PT/PTT quantitative serum hCG |
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32 y/o F
presents with sudden onset of left lower abdom pain that radiates to scapula and back and is associated with vaginal bleeding. LMP was 5 weeks ago. H/O PID and unprotected intercouse What is Differential? |
Ectopic pregnancy
ruptured ovarian cyst ovarian torsion PID |
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32 y/o F
presents with sudden onset of left lower abdom pain that radiates to scapula and back and is associated with vaginal bleeding. LMP was 5 weeks ago. H/O PID and unprotected intercouse What is Workup? |
Pelvic exam
uring hCG cervical Cx US - pelvis quantitative serum hCG |