Blog Archives

Infertility – SOGC 2011

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

Posted in 52 Infertility, 99 Priority Topics, FM 99 priority topics, Gyne

Vaginitis – CANADIAN Guideline 2013

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

Posted in 97 Vaginitis, 99 Priority Topics, FM 99 priority topics, Gyne

Vaginal Bleeding – SOGC 2013

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 –

Posted in 96 Vag Bleeding, 99 Priority Topics, FM 99 priority topics, Gyne

Breast Lump – CTFPHC 2011

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

Posted in 11 Breast Lump, 99 Priority Topics, FM 99 priority topics, Gyne

Sex – SOGC 2013

1 In patients, specifically pregnant women, adolescents, and perimenopausal women: a) Inquire about sexuality (e.g., normal sexuality, safe sex, contraception, sexual orientation, and sexual dysfunction). b) Counsel the patient on sexuality (e.g., normal sexuality, safe sex, contraception, sexual orientation, and

Posted in 82 Sex, 99 Priority Topics, FM 99 priority topics, Gyne

Rape/Sexual Assault – TN2014

General Approach: ABCs, treat acute, serious injuries Ensure pt is not left alone & provide ongoing emotional support Set aside adequate time for exam (~1.5hr) Obtain consent for medical exam & Tx, collection of evidence, disclosure to police (notify police

Posted in 78 Rape / Sexual Assault, 99 Priority Topics, FM 99 priority topics, Gyne

Gender Specific Issues

Gender Specific Issues 1 In the assessment of clinical problems that might present differently in men and women, maintain an inclusive differential diagnosis that allows for these differences (e.g., women with coronary artery disease, depression in males). 2 As part

Posted in 42 Gender Issues, 99 Priority Topics, FM 99 priority topics, Gyne

STI Part 1- Canadian Guidelines

Primary care setting can incorporate STI primary and secondary prevention in the course of routine patient care Assessing, discussing, helping patients recognize and minimize STI risk. Informing patients about signs and symptoms of STIs (and lack thereof). Offering patient-centred counselling and STI

Posted in 83 STI, FM 99 priority topics, Gyne, ID, Uncategorized

Managing Menopause – SOGC 2014 Guideline

Assess Risk Factors: Waist Circumference >=88cm / 35in ↑ DM, heart dz, HTN Smoking HTN (BP >140/90) Past pregnancy complication  ↑ premature CV dz and death preeclampsia, Gestation HTN, GDM placenta abruption, idiopathic preterm delivery, fetal growth restrictions Venous thromboembolism risks: Factor V Leiden

Posted in 63 Menopause, 99 Priority Topics, FM 99 priority topics, Gyne

Contraception – SOGC 2004 + Rx Files 9th edition

1 With all patients, especially adolescents, young men, postpartum women, and perimenopausal women, advise about adequate contraception when opportunities arise. 2 In patients using specific contraceptives, advise of specific factors that may reduce efficacy (e.g., delayed initiation of method, illness,

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Posted in 16 Contraception, 99 Priority Topics, FM 99 priority topics, Gyne
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