Abnormal Uterine Bleeding Flashcards
what is the normal duration and amount of menstrual bleeding?
5 days (range 2-7 days), mean blood loss is 40 ml
menorrhagia is defined as blood loss over what ammount?
80 ml
what is the term for bleeding between periods?
metrorrhagia
what is the term for bleeding that occurs more often than every 21 days ( like mini cycles)
polymenorrhea
what is bleeding that occurs less frequently than every 35 days
oligomenorrhea
the acronym PALM COEIN is used to remember AUB bleeding etiologies that are ________ in nature?
“structural”
Polyps, Adenomyosis, Leiomyoma, Malignancy (hyperplasia), Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, or not yet classified.
what is usually the result of abnormal adolescent uterine bleeding?
anovulation
AUB in a woman who is between 19-34 years old is often the result of what?
Pregnancy
Structural lesions (PALM COEIN)
anovulatory cycles (PALM COEIN
hormonal contraceptive
endometrial hyperplasia (PALM COEIN)
depending on the amount of blood loss, you should be concerned for which condition with AUB?
anemia
what are some history/PE that goes into diagnosing AUB?
History of: the duration and amount of blood flow, pertinent illness, medications, coagulation disorders
Physical exam and pelvic exam
what types of labs will you run for an AUB?
CBC
HCG
Thyroid Function Test
Coagulation studies
Gonorrhea/ chlamydia testing
PAP
Endometrial Sampling
types of imaging for AUB?
Transvaginal ultrasound
sonohysterography (sound waves for looking in uterus)
hysteroscopy (exam of the inside of the cervix and uterus using a thin, lighted, flexible tube)
Treatment for AUB?
refer to OB GYN
AUB O can be treated hormonally and with NSAIDS
what type of bleeding can be assumed to be cancerous until proven otherwise?
postmenopausal bleeding that occurs 6 months or more following cessation of menstrual cycle.
