PANCE Word Association (OBGYN)

Trichomonas

Frothy yellow-green to gry adherent vaginal d/c; dysuria, vaginal pruritis; vulvar and cervical erythema

Trichomonas

flagellated protozoa

Bacterial vaginitis

Gardnerella vaginalis

BV

fishy odor, thin grayish vaginal d/c

Bacterial vaginitis

clue cells

Candida

thick white vaginal d/c; hyphae and buds on KOH prep

Atrophic vaginitis

Postmenopausal, dyspareunia, thin vaginal discharge, atrophic vulvar changes, vaginal petechiae

Topical estrogen

Tx of atrophic vaginitis

Pregnancy

MCC of secondary amenorrhea

Ectopic pregnancy

female with acute abdominal pain and elevated bHCG

Fibroadenoma

20y/o female w/ rubbery, firm, well-circumscribed, non-tender breast lesion; doesn't change w/ cycle

Fibrocystic breast disease

30-50y/o female; multiple painful bilateral breast masses; increase in pain and size before menses

Intraductal papilloma

Spontaneous unilateral bloody, serous or cloudy nipple d/c

Breast cancer

breast mass, nipple retraction, bloody d/c, dimpling of skin

breast mass

MC presentation of breast cancer

PCOS

overweight, irregular menstrual cycles; elevated blood sugar, hirsutism

Mittleschmertz

adolescent female with midcycle pain, alternating from side to side; relieved with NSAIDs

Endometriosis

Dysmenorrhea, dyspareunia, dyschezia; uterus is fixed and retroflexed; cyclic pelvic pain

Endometriosis

chocolate cysts

Leiomyoma

Firm irregular shaped, nontender enlarged uterus

Adenomyosis

softened, tender, diffusely globular uterine enlargement

Tubo-ovarian abscess

>5cm, unilateral, mobile, tender adnexal mass

LMP + 7d - 3mo

Nagel's rule

Pre-eclampsia

Pregnant + HTN, HA, edema

Eclampsia

Pregnant + HTN and seizures

Threatened abortion

Pregnant <20wk gestation w/ vaginal bleeding, abd and pelvic pain; blood from closed cervical os

Incomplete abortion

Pregnant <20wk gestation w/ vaginal bleeding, abd and pelvic pain; tissue at or said to be passed from open cervical os

Complete abortion

empty uterus; complete passage of fetal tissue, pain resolves after passage of tissue

Fetal Alcohol syndrome

alcohol consumption during pregnancy and low birth weight

Uterine atony

MCC of post-partum hemorrhage

uterine massage

tx of uterine atony

endometrial cancer

postmenopausal vaginal bleeding

endometrial bx

dx of endometrial cancer

ovarian cancer

postmenopausal adnexal mass