TEALE FENNING

Nick Raine-Fenning

Hi guys

I have been collating all the info you have posted and sent me regarding the recent OSCE Exam. It all makes sense but I do feel we are missing a couple of the result interpretation questions.

I have the following list:

1. Woman with history of 1 episode of heavy irregular bleed. Amenorrhoea of 6 weeks. Pipelle biopsy shows decidual reaction in someone who's had a steri 10 years ago. Any possibility of pregnancy?

2. 52 year old postmenopausal woman with PV bleed. Atrophic vaginitis. TVS shows ET 2mm and ovarian unilocular cyst 41 x 30 x 30 cm size.

3. Chlamydia screen positive in a pt waiting for STOP later this week.

4. 30 year old with Chlamydia positive and mild dyskaryosis

5. 60 year old with vaginal bleeding PV and mass in the vagina and biopsy report shows malignant melanoma

6. endometrial curettings - G3 endometrial cancer (unexpected)

7. TAH BSO for menorrhagia - histology shows CIN II

8. 61 year old with PMB. 20 mm endometrial thickness on TVS, ovaries not visualised, pipelle piopsy shows atrophic changes.

9. 40 year old pt referred by GP to check suitability for fitting mirena. few months history of menorrhagia, Hb 8.5 gm. EB proliferative endometrium.

10. HPE: unilateral salpingooophorectomy shows dysgerminoma ovary, invading serosal surface, negative peritoneal washings. fallopian tube not involved.

11. 20 year old with right lower abdominal pain and positive pregnancy test and scan shows empty uterus and Beta HCG of 879

12. 60 year old with postmenopausal bleeding and scan shows 4 mm endmoetrial thickness

13. 30 year old with oligmenorrhoea and hormonal profile shows FSH 5.7, LH 3.2, & Prolactin of 1370

14. PCOS scan and bloods

15. PMB ultrasound showing polyp and thickened endometrium

If you can remember anymore or maybe give us some more precise details that would be great.
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