Gynecologic
Abd pain or vag bleed (any) -> ectopic pregnancy Abd pain or vag bleed (any) -> non-viable pregnancy Abd pain or vag bleed (indeterminate USN) -> ectopic pregnancy Abd pain or vag bleed and inconclusive USN (any) -> ectopic pregnancy Abnormal Pap (any) -> LSIL/HSIL/CA Abnormal Pap (ASCUS or LSIL) -> cervical CIN 1/2/3 Abnormal Pap (ASCUS or LSIL) -> cervical CIN 2/3 Abnormal Pap (ASCUS) -> cervical CIN 1/2/3 Abnormal Pap (ASCUS) -> CIN 2 or worse Abnormal Pap (atypia) -> any cervical dysplasia Abnormal Pap (atypia) -> high-grade cervical dysplasia Abnormal Pap (LSIL) -> cervical CIN 1/2/3 Abnormal Pap (LSIL) -> cervical CIN 2/3 Abnormal uterine bleeding -> abnormal uterine cavity Abortion suspected -> spontaneous abortion Abscess suspected -> abd abscess Abscess suspected -> abd or pelvic abscess Abscess suspected -> pelvic abscess Adenomyosis suspected -> adenomyosis Adnexal mass suspected -> endometrial cysts Amenorrhea -> failed progestin withdrawal bleed Bacterial vaginosis -> chlamydia or gonorrhea Breast CA -> bony metastases Breast CA -> liver metastasis Breast CA suspected -> breast CA Breast lump -> breast CA Breast lump or abnormal mammogram -> breast CA Breast mass or enlargement (men) -> breast cancer Breast mass or enlargement (men) -> gynecomastia Cervical discharge -> chlamydia GU infection Chlamydia suspected (men) -> chlamydia GU infection Chlamydia suspected (women) -> chlamydia GU infection DCIS suspected -> ductal carcinoma in-situ Endometrial CA -> nodal metastasis Endometriosis suspected -> endometriosis Epicondylitis suspected -> epicondylitis Gonadal dysgensis suspected -> gonadal dysgenesis HPV infection -> any cervical dysplasia HPV infection -> high-grade cervical dysplasia Intussusception suspected -> intussusception Leiomyoma suspected -> leiomyoma Nipple discharge (spontaneous single duct) -> cancer or DCIS Non-palpable breast abnormality -> cancer or DCIS Oligomenorrhea/amenorrhea -> response to progestin challenge Ovarian mass -> ovarian cancer (malignant or borderline) Pancreatitis suspected -> chronic pancreatitis Pelvic mass -> ovarian CA Pelvic pain -> ovarian torsion Perimenopause suspected -> perimenopause PID suspected -> PID PID suspected -> PID (chlamydial) Pleural effusion -> definite or probable malignancy Polycystic ovarian disease suspected -> polycystic ovarian disease Pregnant (asymptomatic) -> preterm birth < 34 weeks Screening (1st trimester) -> congenital heart defect Screening (2nd trimester) -> trisomy 21 (Down syndrome) Screening (any) -> chlamydia GU infection Screening (any) -> trisomy 18 Screening (any) -> trisomy 18 or 21 Screening (infant) -> hip dysplasia Screening (men) -> chlamydia GU infection Screening (men) -> neisseria gonorrhea Screening (women) -> any cervical dysplasia Screening (women) -> breast CA Screening (women) -> chlamydia GU infection Screening (women) -> high-grade cervical dysplasia Screening (women) -> HPV infection Screening (women) -> hyperplasia or CA Screening (women) -> neisseria gonorrhea Screening (women) -> ovarian CA Screening (women) -> trichomoniasis Screening -> HSIL or worse Screening anal cytology showing ASCUS -> HSIL or worse on biopsy Shoulder pain -> rotator cuff tear (any thickness) Shoulder pain -> rotator cuff tear (full thickness) Shoulder pain -> rotator cuff tear (partial thickness) STI suspected -> chlamydia or gonorrhea Vaginal bleeding (all) -> endometrial CA Vaginal bleeding (all) -> endometrial CA or hyperplasia Vaginal bleeding (postmenopausal (DM)) -> hyperplasia w/atypia or cancer Vaginal bleeding (postmenopausal (obese)) -> hyperplasia w/atypia or cancer Vaginal bleeding (postmenopausal) -> CA, hyperplasia, or polyp Vaginal bleeding (postmenopausal) -> endometrial CA Vaginal symptoms -> bacterial vaginosis Vaginal symptoms -> trichomoniasis