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
High AFP
Neural tube defects
High hCG
Molar pregnancy
Low hCG
Ectopic pregnancy
“snowstorm patterns”
Hydatidiform mole
Passage of “grape-like” clusters
Hydatidiform mole
Ovulatory Dysfunctions include
PCOS, hypothyroid, hyperprolactinemia, stress, obesity, anorexia
PCOS Sx
obese, hyperinsulinemia, high LH:FSH, high Androgen levels, high estrogen, an ovulation, irregular periods, hirsutism, infertility
Acanthosis nigricans
Diabetes (insulin resistance)
Globular uterus
adenomyosis
Fibroid uterus
leiomyomas
Treatment for Polyp
manual removal
Treatment for Adenomyosis
hysterectomy
Treatment for Leiomyoma
hormonal control, endometrial ablation, uterine a. embolization, myomectomy
Treatment for Hyperplasia
Hormonal control, hysterectomy
Treatment for Coagulopathy
DDAVP (Vasopressin), hormonal control
Treatment for Endometrial causes
hormonal control & treat infections
