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Cards In This Set
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Frothy, clear – white or yellow-green to gray adherent vaginal discharge, dysuria, vaginal pruritis. Vulvar and cervical erythema. Flagellated protozoa
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Trichomonas
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Fishy odor, Thin grayish vaginal discharge, Clue cells
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Bacterial vaginitis; Gardnerella vaginalis
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Thick white vaginal discharge, hyphae & buds on KOH prep
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Candidiasis
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Postmenopausal, dyspareunia, thin vaginal discharge, atrophic vulvar
changes, vaginal petechiae
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Atrophic vaginitis; Tx = topical
estrogen
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Secondary amenorrhea
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Pregnancy
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Female with acute abdominal pain.
No characteristic acute abdomen pattern
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Ectopic Pregnancy
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20yo female w/ rubbery, firm, well-circumscribed, non-tender breast
lesion, doesn’t change w/ cycle
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Fibroadenoma
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30 – 50yo female, painful, multiple, bilateral breast masses that
increase in pain and size before menses
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Fibrocystic breast disease
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Spontaneous bloody, serous, or cloudy nipple discharge
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Intraductal Papilloma
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Breast mass, nipple retraction, bloody nipple discharge
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Breast cancer (mass is most common presenting clinical manifestation)
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Overweight, irregular menstrual cycles (poss. Amenorrhea), elevated
blood sugar, hirsutism
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PCOS (stein-leventhal syndrome)
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Adolescent female with midcycle pain alternating from left to right
side. Relieved w/ NSAIDs
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Mittelschmerz
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Dysmenorrhea, dyspareunia, dyschezia.
Uterus is fixed, retroflexed.
Cyclic pelvic pain. May have
palpable pelvic mass
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Endometriosis. Palpable pelvic
mass – “chocolate cyst”
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Firm irregular shaped, NONTENDER enlarged uterus
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Leiomyoma
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Softened, tender, diffusely globular uterine enlargement
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Adenomyosis
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