Amenorrhea Ddx
Posted by dkwinter

Hx
     Primary vs. secondary
     Duration
     Possible pregnancy
     Associated sx
          Headache
          Decreased peripheral vision
          Galactorrhea
          Hirsutism
          Virilization
          Hot flashes
          Vaginal dryness
          Sx of thyroid disease
PMHx
     Anorexia nervosa
     Excessive dieting
     Vigorous exercise
     Pregnancies
     D&Cs
     Uterine infections
     Drug use
     Medications
PE
     Vital signs
     Breast exam
     Complete pelvic exam
Ddx
     Pregnancy
     Polycystic ovarian syndrome
     Anovulatory cycle
     Anorexia nervosa
     Menopause
     Anxiety-induced amenorrhea
     Premature ovarian failure
     Hyperprolactinemia
          Prolactinoma
     Sheehan's syndrome
     Thyroid disease
     Ovarian malignancy
     Adrenal malignancy
     Pituitary tumor
     Asherman's syndrome
     UTI