etiology

acute (<3 wks) subacute (3-8 wks) chronic (>8 wks)
infection

nature of patient

<aside> 👵 If vaginal bleeding occurs in postmenopausal women, consider endometrial and cervical cancer

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approach

6B0C8D8C-AFC5-41BE-A7AC-D71D3EA52538.jpeg

History


Hx of Present Illness

Past Medical Hx

Social Hx

review of systems

<aside> <img src="attachment:21b22a3c-678b-41ee-8186-26009e6afcc8:giphy_(5).gif" alt="attachment:21b22a3c-678b-41ee-8186-26009e6afcc8:giphy_(5).gif" width="40px" /> DDx: fibroids vs. ovarian cysts & tumors

Ruptured ovarian cysts almost never cause heavy uterine bleeding and have a very sudden-onset sharp lower abdominal pain that often starts during or after exercise.

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Physical Examination


HEENT

Chest

Cardiovascular

Abdominal

Pelvic