OBGYN Pamela Flowers

OBGYN Pamela Flowers

Diagnosis – Ectopic pregnancy DDX – Endometriosis, tubo-ovarian abcess, Pelvic inflammatory disease, ovarian cyst, ectopic pregnancy, abortion, ovarian torsion, dysmenorrhea-primary Problem Statement: ( Demographic description – chief complaint – Hx and PE key findings – risk factors ) Pamela Flowers is a 24 year old G0P0 woman presenting with abnormal vaginal bleeding and LLQ pelvic pain for 1 day. She has a history of dysparenuria on her left side. Gynecological exam shows tenderness and L- adnexal fullness (no mass) w/ enlarged + soft uterus. Patient has history of irregular periods. ( you just need a treatment plan ) CC: Pamela Flowers is a 24 year old G0P0 woman presenting with abnormal vaginal bleeding and LLQ pelvic pain HPI: The vaginal bleeding and pain started 1 day prior. Patient also describes dyspareunia 1 week ago, and has history of ‘irregular periods’ Meds: inhaler for asthma PMH: Pap smear + gyn exam 8mo ago normal – treated for chlamydia infection 3 years ago. SH: one currentsexual partner, condomsfor contraception. ROS: Only positive findings are seen in HPI