Infertility No conception after 12 months of unprotected and frequent intercourse Primary – no previous pregnancy Secondary – after previous pregnancy 1 When a patient consults you with concerns about difficulties becoming pregnant: a) Take an appropriate history (e.g., ask…
1 In patients with recurrent symptoms of vaginal discharge and/or perineal itching, have a broad differential diagnosis (e.g., lichen sclerosus et atrophicus, vulvar cancer, contact dermatitis, colovaginal fistula), take a detailed history, and perform a careful physical examination to ensure appropriate investigation or…
Pediatrics – diarrhea, development, neonatal jaundice, asthma Obs/Gyn – amenorrhea, vaginal blood, abdominal pain, PIH, contraception / OCP, elective abortion counseling Suturing – choice of suture, tetanus vaccine Chest Pain – read CXR, ECG Resuscitation – fluid resuscitation after blood…
Abnormal uterine bleeding: Change in frequency, duration or amount of menstrual flow Normal Menses: Last up to 7 d, ~35ml of blood loss, wide range of normal Menorrhagia – xs bleeding during menses Metrorrhagia – uterine bleeding at irregular times Oligomenorrhea –…
Breast Lump Any lump / mass noted on clinical exam or by pt 1 Given a well woman with concerns about breast disease, during a clinical encounter (annual or not): a) Identify high-risk patients by assessing modifiable and non-modifiable risk factors…
Paroxysmal: self-terminating <7d Persistent: sustained >7d or req cardioverison Permanent: >1yr Valvular: rheumatic MV dz, prosthetic valve, valve repair Lone AF: age SAF score – impact on QOL: 0 – asymptomatic, 1 – min effect, 2 – minor, 3 – moderate,…
9 In a patient with clinical evidence of complications in labour (e.g., abruption (see part 3), uterine rupture, shoulder dystocia, non-reassuring fetal monitoring (see part 3)): a) Diagnose the complication. b) Manage the complication appropriately. Shoulder Dystocia Anterior shoulder impaction against…
7 In a pregnant patient presenting with features of an antenatal complication (e.g., premature rupture of membranes, hypertension, bleeding): a) Establish the diagnosis. b) Manage the complication appropriately. Nausea and Vomiting 50-90% of pregnant women, often limited to T1, but may…
1 Appropriately identify patients requiring prostate cancer screening. Canadian Task force 2014: (Endorsed by CCFP) <55yo or >70yo, no screening for prostate ca with PSA (strong recommendation, low-quality) 55-69 yo – no screening for prostate ca with PSA (weak recommendation,…
Ominous symptoms: RUQ pain, H/A, Visual disturbances Dx 1) Pre-existing (chronic) hypertension: HTN (>140/90) that develops either pre-pregnancy or at < 20+0 weeks’ gestation Essential HTN ↑ risk of gestational HTN, placenta abruption, IUGR, IUFD Performed during early pregnancy: (if not previously documented): serum…
Preparing for the CCFP Exam 2015 