Intimate Pain by https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4 PBL 41 en-us 2023-03-26 02:43:05 UTC 2023-03-27 16:13:16 UTC hello@padlet.com Trigger A nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531560259 Mrs. Syasya, a 30-year-old married lady, para 1, complained of offensive, yellowish per vaginal discharge for 2 months duration. She also complained of mild fever, malaise, suprapubic pain, deep pain during sexual intercourse and painful menstruation. She was on contraceptive pills for family planning ]]> 2023-03-26 02:45:56 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531560259 Mrs. Syasya, 30 y/o married lady, para 1 nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531564330 - identity of patient : most probably malay, middle age, young, married, successfully delivered a baby
- important for risk factor
- missing: the antenatal history? eventful/uneventful? is the baby healthy?]]> 2023-03-26 03:02:14 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531564330 Chief complaint: offensive, yellowish per vaginal discharge for 2 months duration nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531565754 - offensive discharge: foul smell
- yellowish: might indicate infection(could be trichomonas, candida albicans)/STI]]> 2023-03-26 03:07:20 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531565754 associated symptoms nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531565924 complained of mild fever: might due to infection

malaise: feeling of discomfort/unease

suprapubic pain: onset? characteristic? what organ might involved?

deep pain during sexual intercourse: a.k.a. dyspareunia

painful menstruation]]> 2023-03-26 03:07:57 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531565924 contraceptive pills nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531566174 - pills taken to prevent pregnancy
- a.k.a. birth control pill
- family planning
- what are the effects of taking contraceptive pills? could it be risk factor? ]]> 2023-03-26 03:08:51 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531566174 fatihaainaumaira https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531567767 2023-03-26 03:13:20 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531567767 ilyummy00 https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531569045 2023-03-26 03:18:33 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531569045 https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531571418 Are there different types of dyspareunia?

The location of the pain can help determine what type of dyspareunia you are experiencing:

  • Entry pain (intraorbital or superficial dyspareunia): This pain is felt at the entrance to the vagina during initial penetration. Some factors associated with entry pain can be lack of lubrication, injury or infection.
  • Deep pain (collision dyspareunia): This is pain that occurs in deep penetration and can feel worse in certain sexual positions. You will feel this pain in the cervix or lower abdomen. A medical condition or prior surgery usually causes sexual pain that occurs deeper.
]]> 2023-03-26 03:27:25 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531571418 Dyspareunia imanicebear https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531572103 2023-03-26 03:30:12 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531572103 Trigger B nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531572457 On examination, she was febrile and her pulse rate was 100 beats / minute. Her lower abdomen was tender with presence of guarding. Other systems were normal.

Vaginal examination revealed a mucopurulent yellowish discharge. There was redness around the external cervical os. Theuterus was normal in size, anteverted, mobile and tender. There was left adnexa mass palpated and it was tender.

High vaginal swab (HVS) showed normal vaginal flora. Endocervical swab was positive for Chlamydia trachomatis.

She was diagnosed as having acute pelvic inflammatory disease with tubo-ovarian abscess secondary to chlamydial infection and was treated with a course of antibiotics.

Mrs. Syasya was worried about her husband’s feelings towards her after this. ]]> 2023-03-26 03:31:44 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531572457 PE nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531573386 - febrile and pulse rate of 100 bpm: indicates infection

- lower abdomen is tender with presence of guarding: inflammation, what organ is involved? ]]> 2023-03-26 03:34:52 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531573386 Vaginal examination nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531574199 - mucopurulent yellowish discharge: mucus + pus, indicates infection

- redness around external cervical os: inflammation, might be in relation with dyspareunia, cervicitis?

- uterus is mobile and tender

- left adnexa mass palpated and was tender: no idea if it is benign/malignant, could be found in many conditions, might causing the lower abdomen pain]]> 2023-03-26 03:38:28 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531574199 HVS and endocervical swab nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531574223 - HVS: normal vaginal flora

- endocervical: +ve for Chlamydia trachomatis, common organism for STI, need to find source of infection(husband?), what is the complications?]]> 2023-03-26 03:38:35 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531574223 imanicebear https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531575883 2023-03-26 03:45:40 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531575883 adnexa nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531576341 ovaries, fallopian tubes and ligaments securing the female reproductive system]]> 2023-03-26 03:47:25 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531576341 Diagnosis and treatment nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531578271 acute pelvic inflammatory disease with tubo-ovarian abscess secondary to chlamydial infection: tubo ovarian abscess= pocket of pus forms because of infections

treated with a course of antibiotics: what type? examples?  ]]> 2023-03-26 03:53:49 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531578271 Psychosocial effect nafizaizam https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531579767 worried about her husband's feeling]]> 2023-03-26 03:59:22 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531579767 imanicebear https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531580752 A tubo-ovarian abscess is a pocket of pus that forms because of an infection in a fallopian tube and ovary. A tubo-ovarian abscess is most often caused by pelvic inflammatory disease (PID)]]> 2023-03-26 04:02:42 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2531580752 Learning Outcome aliaqistinahidyatul https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2533371095 PBL 41 INTIMATE PAIN

LO1
-Anatomy of the Female Reproductive System + position of uterus πŸ“ Iman

LO2
-Acute Pelvic inflammatory disease and tubo ovarian abscess πŸ• Nafiz
-Pathophysiology of the symptoms(dysparaeunia, redness around external os, suprapubic pain, painful mens) πŸ”Fatiha
-Pathophysiology of mucopurulent yellowish discharge πŸͺ Pravei
-Left adnexa mass (overview, causes, Etc) 🍰 - ALIA

LO3
-eneocervical swab + chlamydia trachomatis   πŸ— SINEHAA
-Treatment & Management of Acute Pelvic inflammatory disease πŸ‡ Omar 
-Contraceptive pills 🍌 Anisha

LO4
-Merci πŸ₯ͺ - Ji]]> 2023-03-27 16:11:36 UTC https://padlet.com/nafizaizam/fphxa2w8lyd2wgo4/wish/2533371095