Complaint-DDX-Workup-PE

Compliant - Vaginal Discharge p. 96
DDX             Workup PE Note Extras 
 Vaginosis - bacterial                     Pelvic / Rectal Exam VS amount / color / odor 
 Vaginitis - trichomonal Wet mount, KOH, Whiff test Abdominal Exam burning / pain / itching 
 Vaginitis - candidal Cervical cultures (gonococcal, chlamydial)  contraceptives / tampon / douche 
 Cervicitis - gonococcal Vaginal pH  pre- vs post- menopausal     
 Cervicitis - chlamydial   LMP / Menstrual Hx / Trauma 

PE
Patient sitting on exam table NAD.
VS: WNL
Abdomen: no rash or bruises, +BS all 4 quadrants, soft, non-tender, no hepatosplenomegaly, - Murphy, -Psoas, - Obturator, -CVA tenderness

Compliant - Vaginal Bleeding p. 95
DDX             Workup PE Note Extras 
 Dysfunction Uterine Bleeding              Pelvic / Rectal Exam VS amount / color / odor 
 Abortion UhCG, quantitative Abdominal Exam burning / pain / itching 
 Ectopic Pregnancy U/S - Pelvic  contraceptives / tampon / douche 
 Endometrial Cancer Pap smear, Endometrial Biopsy  pre- vs post - menopausal 
 Cervical Cancer Colposcopy  LMP / Menstrual Hx / trauma  

PE
Patient sitting on exam table NAD.
VS: WNL
Abdomen: no rash or bruises, +BS all 4 quadrants, soft, non-tender, no hepatosplenomegaly, - Murphy, -Psoas, - Obturator, Rebound, Rovsing,  -CVA tenderness
Note: Psoas, Obturator not specific for appendicitis, is specific for a region of large intestine.







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