AMENORREIA Flashcards

1
Q

SX DE ROKINSTANKY

A

-46 XX
-AUSENCIA DE UTERO

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2
Q

SX DE MORRIS OU INSENSIBILIDADE ANDROGENICA

A

-46 XY
-TESTICULO e HAM

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3
Q

SX DE TURNER

A

-45 XO
-BAIXA ESTATURA, HIPERTAYLORISMO MAMARIO,
-TTO : TERAPIA HORMONAL

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4
Q

SX DE SWYER

A

-46XY
- TESTICULO NAO FUNCIOANANTE

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5
Q

ROTEIRO DX DE AMENORREIA PRIMARIA

A

-CARACTERES SECUNDARIOS : indice ferriman, escala de tunner, pubarca, telarca
-FSH + PROLACTINA
-TESTE DO GNRH

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6
Q

Conduta COM caracteres

A

-USG + CARIOTIPO = 46 XX e 46 XY

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7
Q

Conduta SEM caracteres ( cariotipo e teste gnrh )

A

45 XO : SX DE TURNER
46 XX : PURA
46XY : SWYER

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8
Q

SX DE ASHERMAN

A

-SINEQUIAS por MANIPULACAO INTRAUTERINA
-TTO : HISTEROSCOPIA

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9
Q

CAUSA DE HIPERPROLACTINEMIA

A

-ALFA DOPA, ANTICONVULSIVANTES
- >100 : TUMOR

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10
Q

ROTEIRO DX DE AMENORREIA 2

A

1: BHCG
2: PROLACTINA + TSH
3: FSH

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11
Q

FSH p/ AMENORREIA 2

A

-ALTO : FALENCIA OVARIANA ( <40a com estradiol baixo )
-NORMAL : ANATOMICA ou SOP

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12
Q

TESTE DA PROGESTERONA

A
    • : ANOVULACAO
  • TESTE - : INVESTIGA ( estrogeno, se negativ é ASHERMAN )
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