Azurin, Daniel Babor, Jane Malene Barcelona, Chrizyl Mariz Bartolome, Kelvin Mar Bautista, JP

35yr old female Signs and symptoms: Prior to examination:

Findings:

Vaginal spotting Foul smell vaginal discharge Right leg larger than left

PELViC EXAMINATION: = normal female external genitalia SPECULUM EXAMINATION: =1X2cm erythematous lesion on the surface of the cervix uteri right thigh and leg circumferences are bigger than the left palpable lymph nodes on the inguinal area

flabby abdomen normoactive bowel sounds slight tenderness in the hypogastrium flank tenderness (kidney punch test)

Time line

VAGINAL BLEEDING Causes: Uterine fibroids or cervical or uterine polyps Changes in hormone levels Inflammation or infection of the cervix (cervicitis) Injury or disease of the vaginal opening (caused by intercourse, infection, polyp,genital warts, ulcer, or varicose veins) IUD use (may cause occasional spotting) Ectopic pregnancy Miscarriage Other pregnancy complications Vaginal dryness due to lack of estrogen after menopause Stress Stopping and starting birth control pills or estrogens Underactive thyroid (low thyroid function) Use of blood thinners (anticoagulants) Cancer or precancer of the cervix, uterus, or (very rarely) fallopian tube Cervical or endometrial biopsy or other procedures

Abnormal Vaginal Discharge

Yellow or green vaginal discharge is usually from an infection. A foul-smelling discharge is usually from an infection. A thick, white, itchy, cottage cheese-like nonodorous discharge is often caused by a yeast infection.

La na ko maresearch sa iba eh

Cervicitis
- swelling (inflammation) of the end of the uterus (cervix) Abnormal vaginal bleeding - After intercourse - After menopause - Between periods Unusual vaginal discharge - Does not go away - Gray, white, or yellow color - May have an odor Painful sexual intercourse Pain in the vagina Pressure or heaviness in the pelvis

- characterized by the abnormal growth of cells - infection of the uterus, on the surface of the fallopian tubes, and/or cervix, indicating either ovaries. With PID, you have vaginal bleeding with precancerous or cancerous cells. 2 or more of these Genital warts problems: Abdominal tenderness Abnormal bleeding Spotting after and/or bloating intercourse Pain in the pelvis, Vaginal discharge lower abdomen, or back. The pain can be Low back pain severe enough to make you walk bent over and to take small steps. The skin on your abdomen feels sensitive Vaginal discharge with abnormal color or odor Change in menstrual flow

Pelvic Inflammatory Disease (PID)

Cervical dysplasia

Vaginitis
- vaginal infection that disrupts the normal vaginal flora. They often refer it as a "yeast infection." Itching in the vagina and vulva Vaginal discharge (small amounts are normal, however) Red, swollen, painful vaginal mucous membranes and external genitalia Satellite lesions (tender, red, pus filled bumps, which can spread to the thighs and anus)