#128 Diagnosis of Abnormal Uterine Bleeding in Reproductive-Aged Women Flashcards
How long does the normal menstrual cycle last (time between)
21 to 35 days
What is the definition of heavy menstrual bleeding
Great than 80mL (research), clinically based on patient perception
What is menorrhagia
heavy menstrual bleeding
What is metrorrhagia
Bleeding between periods
What is polymenorrhea
Bleeding that occurs more often than every 21 days
What is oligomenorrhea
Bleeding that occurs less frequently than every 35 days
What percentage of women presenting at any age with HMB will have an underlying bleeding disorder
up to 20%
What herbal remedies can cause AUB?
Ginkgo, ginseng, motherwort
Which patients w/ HMB should be tested for underlying disorder of hemostasis?
-HMB since menarche
- PP hemorrhage
- Surgery-related bleeding
- Bleeding associated with dental work
Two or more of the following:
- bruising 1-2x/mo
- epistaxis 1-2x/mo
- frequent gum bleeding
- FH of bleeding symptoms
What are physical exam findings suggestive of a bleeding disorder?
Petechiae, ecchymoses, skin pallor, swollen joints
What is the name of the test for von Willebrand disease?
von Willebrand-ristocetin cofactor activity, von Willebrand factor antigen, and factor VIII
Is hypothyroidsim or hyperthyroidism associated with AUB?
Both are, but hypothyroidism is more common
What are the imaging modalities used to evaluate AUB?
Primary imaging test TVUS. Then SIS of hysteroscopy to better evaluate uterine cavity. MRI is not a primary imaging modality for AUB.
How many adolescents with AUB who require hospitalization have an underlying coagulopathy?
As many as 19%
What is the sensitivity of TVUS for detecting intracavity pathology?
56%