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6 Cards in this Set

  • Front
  • Back
Key History -
Duration
timing
adequacy of lubrication
libido
sexual history
h/o sexual trauma
domestic violence
h/o endometriosis
PID
prior abdom/pelvic surgeries
associated Sxs -
vaginal discharge
rash
painful menses
GI Sxs
hot flashes
Key PE -
VS
abdominal exam
pelvic exam
54 y/o F
c/o painful intercourse.
Her LMP was 9 months ago.
She has hot flashes.

What is Differential?
Atrophic vaginitis
endometriosis
cervicitis
depression
domestic abuse
54 y/o F
c/o painful intercourse.
Her LMP was 9 months ago.
She has hot flashes.

What is Workup?
Pelvic exam
wet mount, KOH prep,
cervical cultures
US - pelvis
37 y/o F
presents with dyspareunia, inability to conceive and dysmenorrhea.

What is Differential?
Endometriosis
cervicitis
vaginismus
vulvodynia
PID
depression
domestic violence
37 y/o F
presents with dyspareunia, inability to conceive and dysmenorrhea.

What is Workup?
Pelvic exam
wet mount, KOH prep,
cervical cultures
US - pelvis
laparoscopy