Meet Ailsa

Ailsa, a 34 year old G3P3 woman, presents to your office with post-coital spotting of 6 months duration. She is otherwise healthy. Only medication is OCP.

Her last pap was 5 years ago. Smoker. Social EtOH.

On pelvic exam, you see the following:

What conditions are in your differential diagnosis? (Chose any)

  • Ectropion
  • Cervical dysplasia (LSIL/HSIL)
  • Cervical Cancer
  • Cervical polyp
  • Endometrial hyperplasia
  • Endometrial cancer
  • Fibroids
  • Endometrial polyp
  • Cervicisitis/STI

What tools will you consider to determine the cause of her post-coital spotting? (Chose ANY)

  • PAP smear
  • Swabs for BV
  • Swabs for Chlamydia & Gonorrhea
  • Endometrial biopsy
  • Pelvic Ultrasound
  • Bloodwork

Move on to next week…

Next week…

Map: CURIOS: Ilsa (698)
Node: 19358
Score:

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OpenLabyrinth
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Review your pathway

  • Larmet går
  • Presentación del caso
  • Immobilize the patient on a spineboard with a rigid cervical collar.
  • wedge fracture
  • START
  • Terajšie ochorenie
  • Clinical Scenario
  • new node
  • Duelling dilemmas
  • About CURIOS
  • ask about exacerbating or relieving factors
  • Meet Ailsa

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