AMENORRHEA Flashcards

1
Q

Pregnancy DDx:

4

A
  1. Anovulatory cycle.
  2. Hyperprolactinemia.
  3. UTI.
  4. Hypothyroidism.
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2
Q

Pregnancy workup:

7

A
  1. Urine hCG.
  2. US abdo/pelvis.
  3. Pelvic exam.
  4. CBC.
  5. UA, urine culture.
  6. Prolactin, TSH.
  7. Baseline pap, cervical cultures, rubella antibody, HIV antibody, HBsAg, VDRL/RPR.
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3
Q

PCOS DDx:

5

A
  1. Thyroid disease.
  2. Hyperprolactinemia.
  3. Pregnancy.
  4. Ovarian or adrenal malignancy.
  5. Premature ovarian failure.
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4
Q

PCOS workup:

4

A
  1. Urine hCG.
  2. LH/FSH, TSH, prolactin.
  3. Pelvic exam.
  4. Testosterone, DHEAS.
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5
Q

Amenorrhea 2o to prolactinoma DDx:

4

A
  1. Pregnancy.
  2. Thyroid disease.
  3. Premature ovarian failure.
  4. Pituitary tumor.
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6
Q

Amenorrhea 2o to prolactinoma workup:

4

A
  1. Urine hCG.
  2. LH/FSH, TSH, prolactin.
  3. MRI brain.
  4. Pelvic and breast exams.
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7
Q

Menopause DDx:

3

A
  1. Pregnancy.
  2. Pituitary tumor.
  3. Thyroid disease.
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8
Q

Menopause workup:

6

A
  1. Urine hCG.
  2. LH/FSH, TSH, prolactin.
  3. Testosterone, DHEAS.
  4. Pelvic exam.
  5. CBC.
  6. MRI brain.
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9
Q

Sheehan’s syndrome DDx:

4

A
  1. Premature ovarian failure.
  2. Pituitary tumor.
  3. Thyroid disease.
  4. Asherman’s syndrome.
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10
Q

Sheehan’s syndrome workup:

8

A
  1. Urine hCG.
  2. LH/FSH, prolactin.
  3. CBC.
  4. Pelvic exam.
  5. TSH, FT4.
  6. ACTH.
  7. MRI brain.
  8. Hysteroscopy.
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11
Q

Anorexia nervosa DDx:

2

A
  1. Pregnancy.

2. Hyperthyroidism.

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12
Q

Anorexia nervosa workup:

4

A
  1. Urine hCG.
  2. CBC.
  3. TSH, FT4.
  4. LH/FSH.
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13
Q

Anxiety-induced amenorrhea DDx:

3

A
  1. Posttraumatic stress disorder.
  2. Depression.
  3. Hyperthyroidism.
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14
Q

Anxiety-induced amenorrhea workup:

5

A
  1. CBC.
  2. TSH, FT4.
  3. Urine cortisol level.
  4. Progesterone challenge test.
  5. LH/FSH, estradiol level.
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