AUB Flashcards

1
Q

Causes of AUB PALM COEIN

A

Polyp Adenomyosis Leiomyoma Malignancy Coagulopathy Ovulatory dysfunction Endometrial Iatrogenic Not yet classified

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2
Q

Most common benign neoplastic growth of the cervix

A

Cervical polyp

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3
Q

Endocervical polyp is what color

A

Cherry red

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4
Q

Cervical polyps are what color

A

Grayish white

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5
Q

Most common type of cervical polyp

A

Adenomatous type

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6
Q

Localized overgrowth of endometrial glands and stroma that project beyond the endometrium

A

Endometrial polyp

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7
Q

3 components of endometrial polyp

A

Endometrial glands Endometrial stroma Central vascular channels

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8
Q

Symptom of cervical polyp

A

Bleeding after coitus

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9
Q

Symptom of endometrial polyp

A

abnormal uterine bleeding

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10
Q

Treatment for endometrial and cervical polyp

A

Cervical- polypectomy Endometrial- hysteroscopy with D and C

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11
Q

Ectopic endometrial glands and stroma within the myometrium

A

Adenomyosis

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12
Q

Definitive treatment for adenomyosis

A

Hysterectomy

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13
Q

Mildest form of leiomyoma

A

Hyaline

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14
Q

Most acute form of leiomyoma

A

Carneous (red) degeneration

  • Occurs in 5-10% of pregnant women
  • Can cause severe pain and peritoneal irritation
  • Characterized by extensive coagulative necrosis
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15
Q

Indication to do hysterectomy rather than myomectomy in leiomyoma

A

Uterus >14-16 weeks size Rapid growth after menopause

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16
Q

First line diagnostic tool for AUB

A

Ultrasound

17
Q

Accurate evaluation tool for intracavitary lesions

A

Saline infusion sonography

18
Q

Imaging study that is both diagnostic and therapeutic

A

Hysteroscopy

19
Q

This diagnostic test is recommended for: Postmenopausal women with heavy/ irregular bleeding Endometrial cells or atypical glandular cellson pap smear Patients on Tamoxifen with abnormal vaginal bleeding Still menstruating after 52 years old

A

Endometrial biopsy

20
Q

This androgenic steroid inhibits gonadotropins and is used for AUB Side effect weight gain and acne

A

Danazol

21
Q

Danazol causes this irreversible side effect when overdosed

A

Low pitched voice

22
Q

Treatment of choice for women with hypovolemia due to AUB

A

D&C

23
Q

May be offered as initial treatment for HMB For those with medical contraindications against hysterectomy and those with small myoma

A

Endometrial ablation

24
Q

Diagnostic and therapeutic for immediate management of severe bleeding

A

D&C