AUB Flashcards
Menorrhagia
menstrual blood loss >80mL per cycle
Metrorrhagia
bleeding in between periods
Polymenorrhea
bleeding >every 21 days
Oligomenorrhea
bleeding<every 35 days
Polyp
vascular, glandular, & fibromuscular tissue growth projecting into the uterine cavity (stimulated by Estrogen)
Leiomyoma
uterine fibroid or SM benign growth (70% Caucasians, 80% AA)
Adenomyosis
glandular endometrial tissue found w/in the myometrium
Adenomyosis is more common in pts w/ a Hx of
C-section, myomectomy
Subserosal Leiomyoma
on the external surface –> Sx: bladder compression
Submucosal Leiomyoma
extend into the uterine cavity –> Sx: AUB
Hyperplasia with subclassifications
Simple without atypia (least malignant potential) – 1%
Simple with atypia – 5%
Complex without atypia – 10%
Complex with atypia (most malignant potential) – 25%
Most common Coagulopathy causing AUB
vWB Disease (deficient vWFactor, protein required for platelet adhesion)
13yo w/ heavy menstrual bleeding?
Coagulopathy
Hemorrhaging following child birth; Hx of bleeding gums
Coagulopathy
Down Syndrome lab findings
low AFP, low estriol, high hCG, high inhibin A
