Chapter 26 Reproductive disturbances in women Case 26.1 A 48-year-old female presents with heavy vaginal bleeding of 6 days duration. Her last menstrual period was 7 weeks earlier. Questions 1. Define menorrhagia and metrorrhagia. 2. Based on this information only, what are the possible causes of her presentation? 3. What questions would be especially important to ask this patient, in order to differentiate between these conditions? 4. For each disorder named in question 2, explain how it could cause her symptoms. Case 26.2 A 33-year-old female presents with spotting of blood between regular periods, plus post-coital bleeding. The bleeding is not heavy. The symptoms have been occurring for the last 3 months. Questions 1. Based on this information only, what are the possible causes of her presentation? 2. What questions would be especially important to ask this patient, in order to differentiate between the possible causes of her presentation? 3. Does this patient need to be referred for investigations? Explain your answer. Case 26.3 A 29-year-old presents with dysmenorrhoea of approximately 6 years duration. There has been a recent exacerbation in her symptoms over the last 3 months. The pain is maximal on days 1–2 of bleeding, with no premenstrual pain. She states that the bleeding is heavier than usual. The patient is nulliparous. Questions 1. Define: a dysmenorrhoea b nulliparous. 2. What type of dysmenorrhoea does this scenario typically describe? 3. Explain the mechanism by which pain occurs in this condition. 4. Is her nulliparous state significance to her complaint? Case 26.4 A 29-year-old woman, who is currently seeing you for regular soft tissue work, states that she feels anxious about a recurrent vaginal discharge. It is usually thick and white, and has occurred five times over the last year. This time it has been present for 2 days. The discharge is odourless, and there is no pain associated with it. There is, however, significant pruritis. The patient is sexually active and has a new partner who is symptomless. She is concerned that her symptoms may jeopardise her relationship. Prior episodes have been diagnosed and treated successfully, but she currently needs some reassurance from you. Questions 1. What is the most likely diagnosis? Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Eating disorders, substance abuse and behavioural disturbances in adolescence Miscellaneous cases in infancy and childhood Sports injuries Acute joint pain Acute back pain Upper limb pain Stay updated, free articles. Join our Telegram channel Join Tags: Cases in Differential Diagnosis for the Physical and Manipulativ Dec 26, 2016 | Posted by admin in MANUAL THERAPIST | Comments Off on Reproductive disturbances in women Full access? Get Clinical Tree
Chapter 26 Reproductive disturbances in women Case 26.1 A 48-year-old female presents with heavy vaginal bleeding of 6 days duration. Her last menstrual period was 7 weeks earlier. Questions 1. Define menorrhagia and metrorrhagia. 2. Based on this information only, what are the possible causes of her presentation? 3. What questions would be especially important to ask this patient, in order to differentiate between these conditions? 4. For each disorder named in question 2, explain how it could cause her symptoms. Case 26.2 A 33-year-old female presents with spotting of blood between regular periods, plus post-coital bleeding. The bleeding is not heavy. The symptoms have been occurring for the last 3 months. Questions 1. Based on this information only, what are the possible causes of her presentation? 2. What questions would be especially important to ask this patient, in order to differentiate between the possible causes of her presentation? 3. Does this patient need to be referred for investigations? Explain your answer. Case 26.3 A 29-year-old presents with dysmenorrhoea of approximately 6 years duration. There has been a recent exacerbation in her symptoms over the last 3 months. The pain is maximal on days 1–2 of bleeding, with no premenstrual pain. She states that the bleeding is heavier than usual. The patient is nulliparous. Questions 1. Define: a dysmenorrhoea b nulliparous. 2. What type of dysmenorrhoea does this scenario typically describe? 3. Explain the mechanism by which pain occurs in this condition. 4. Is her nulliparous state significance to her complaint? Case 26.4 A 29-year-old woman, who is currently seeing you for regular soft tissue work, states that she feels anxious about a recurrent vaginal discharge. It is usually thick and white, and has occurred five times over the last year. This time it has been present for 2 days. The discharge is odourless, and there is no pain associated with it. There is, however, significant pruritis. The patient is sexually active and has a new partner who is symptomless. She is concerned that her symptoms may jeopardise her relationship. Prior episodes have been diagnosed and treated successfully, but she currently needs some reassurance from you. Questions 1. What is the most likely diagnosis? Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Eating disorders, substance abuse and behavioural disturbances in adolescence Miscellaneous cases in infancy and childhood Sports injuries Acute joint pain Acute back pain Upper limb pain Stay updated, free articles. Join our Telegram channel Join Tags: Cases in Differential Diagnosis for the Physical and Manipulativ Dec 26, 2016 | Posted by admin in MANUAL THERAPIST | Comments Off on Reproductive disturbances in women Full access? Get Clinical Tree
