History taking -- Secondary Amenorrhoea.
Introduction: Good morning Miss Tracy, I am Dr. Munagapati Senior house officer
in the department of Obstetrics and Gynaecology. I would like to have a little chat
with you regarding your periods is that all right with you?
H/o presenting complaint: Have you had periods before? When was your last period?
Are you on any contraceptive pill? Could you be pregnant?
H/o withdrawal bleeding, H/o vaginal discharge,
Emotional states? Exams? Weight loss?
H/o renal disease, thyroid, DM.
Past h/o D & C, ovarian tumors.
DD: Anorexia nervosa, Hypothalamic-pituitary-ovarian failure, polycystic ovary syndrome, ovarian failure, Asherman's syndrome - uterine adhesions after D & C, post-pill amenorrhoea, tumours and necrosis - Sheehan's syndrome.