Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Endocrine > Dezv feminina > Flashcards

Dezv feminina Flashcards

1
Q

Examen clinic cu stadializare Tanner:

A

caracteristicile ciclului menstrual; fertilitatea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Teste pentru documentarea rezervei foliculare:

A
  • Estradiol (ziua 3-5 faza foliculara)
  • FSH (ziua 3-5 )
  • AMH (ziua 3-5)
  • numarul de foliculi antrali
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Teste pentru documentarea ovulatiei:

A
  • dozarea progesteronului z 21(aprox a 7-a zi dupa ovulatie)
  • evaluarea peak de LH urinar
  • ecografie transvaginala
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Amenoree primara

A

Absenta menarhai pana la 15 ani (primara)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Amenoree secundara:

A

lipsa menstrelor cel putin 3-6 luni consecutiv (secundara)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cauze: -hipotalamice de amenoree:

A
  1. Amenoree functionala
  2. Anorexia nervoasa
  3. Apoplexie
  4. Genetica (Sd Kallman)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cauze: -hipofizare de amenoree

A
  1. Adenom
  2. Apoplexie
  3. Genetic
  4. Iatrogene (radio/citostatice/chirurgical)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cauze: Ovariene de amenoree:

A
  1. Sd Turner
  2. Agenezie
  3. Iatrogene
  4. Infectii
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cauze: -Anatomo-uterine amenoree:

A
  1. Malformatii (uter)

2. Sinechie uterine (curetaj)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Amenoree Manifestari clinice:

A
  1. Tulb greutate(crestere/scd)
  2. Modif pilozitati sexuale –> Exces (hirsutism, acnee)
    - -> Acantosis nigricans
  3. Sani/Galactoree (proaspat ==> Cancer)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dozarea de TSH si PRL ce arata

A
  1. Hipotiroidism daca e crescut
  2. Insuf hipofizara daca e scz
  3. PRL > 5x val normala (>100)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Un RMN poate sa arate pt un PRL crecut:

A

Comprimare a tijei (Inhiba elib Dopamina —> Creste PRL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hipogonadism hipergonadotrop ce valorii de E2 si FSH avem?

A
  1. E2 scz
  2. FSH crescut
    - –> Sd Turner/Sd kallman
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cabergolina la ce putem sa admin?

A
  1. Adenom hipofizar cu PRL mare
  2. Pt restabilirea ciclul/fertilitatea
  3. Pt a scd PRL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cu ce se trateaza Agalactie?

A

Estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

hipogonadism hipogonadotrop ce valorii de E2 si FSH avem?

A
  1. E2 scz
  2. FSH scz
    - –> Adenom hipofizar
17
Q

Amenoreea functionala hipotalamica:

A
  1. 15- 35 % din cauzele de amenoree
  2. Reducerea frecventei si amplitudinii pulsurilor
    de GnRH cu valori reduse ale FSH, LH
  3. stres, modificari ale greutatii, efort fizic, postpill
  4. deficitul de leptina
    hipercorticismul (stres, valori crescute ale
    CRH)
    ===> test la progesteron pozitiv
18
Q

Anorexie nervosa:

A
  1. Forma severa de amenoree hipotalamica
  2. Estradiol scazut, anovulatie
  3. Test la progesteron negativ
  4. ACTH, cortisol crescut
19
Q

SOPC

A
  1. la femeile de varsta reproductiva
  2. Cea mai frecventa cauza de hiperandrogenism
  3. Cea mai frecventa cauza de anovulatie si infertilitate
  4. rezistenta la insulina
  5. hiperinsulinemie
  6. obezitate
  7. Afectiune genetica complexa, cu o baza multigenica a expresiei fenotipice variabile
  8. Afectiune heterogena, cu etiologie necunoscuta
20
Q

CRITERIILE REVIZUITE DE DIAGNOSTIC AL

SINDROMULUI OVARELOR POLICHISTICE:

A
  1. Oligo – sau anovulatie,
  2. Semne clinice si/sau biochimice de hiperandrogenism,
  3. Ovare polichistice ecografic
    - –> cu excluderea altor etiologii (HAC, tumori secretante de androgeni, sindrom Cushing, prolactinom )
21
Q

Evolutie SOPC:

A
  1. Adrenarche prematura
  2. Hiperandrogenism
  3. Infertilitate si menstruatei ireg
  4. R la insulina
22
Q

SOPC - Investigatii de laborator

A
  • Testosteron plasmatic
  • SHBG
  • LH/FSH > 2
  • ecografie utero- ovariana
  • glicemie si insulinemie
  • OGTT
23
Q

Tratamentul SOPC – posibile obiective

A
  1. Tratamentul tulburarilor de ciclu menstrual
  2. Tratamentul anovulatiei cu restabilirea fertilitatii
  3. Tratamentul hiperandrogenismului
  4. Tratamentul rezistentei la insulina
24
Q

TRATAMENTUL HIRSUTISMULUI

A 
• Contraceptive orale
• Antiandrogeni 
– spironolactona
– ciproteron acetat
– flutamida
• Glucocorticoizi (Hiperplazia adrenala congenitala)
25
Q

Sangerari uterine disfunctionale: Anovulatie

Diagnostice diferent

A
  1. Coagulopatii
  2. Sarcina anormala
  3. Leziuni ale tractului genital
  4. Terapie hormonala inadecvata
  5. Boli sistemice
26
Q

Patogenie in Anovulatie:

A

• Productie de estrogeni neinsotita de secretie
corespunzatoare de progesteron (defecte de faza
luteala)

• Proliferare endometriala, absenta sincronizarii in
eliminarea mucoasei uterine

• Frecvente dupa instalarea pubertatii sau in
perimenopauza

27
Q

Tratament in Anovulatie:

A
  • Progestative in a doua jumatate a CM
  • Preparate estroprogestative
  • Hemoragii acute, prelungite – estrogeni IV
  • la femei >36 ani- chiuretaj biopsic anterior tratamentului
28
Q

Menopauza:

A

• Proces fiziologic ce consta in oprirea ciclului
menstrual la sfarsitul vietii reproductive
• Diagnostic retrospectiv dupa 1 an de amenoree
• Varsta medie 50 ani,
• < 40 ani – menopauza precoce
• menopauza chirurgicala (castrare)

29
Q

Menopauza: Manifest clinice:

A

• In perimenopauza – tulburari de CM (anovulatie)
• Tulburari neurovegetative:
❖ valuri de transpiratie si caldura (bufeuri)
❖ stari depresive sau anxietate
❖ tulburari de somn
❖ incapacitate de concentrare
• Tulburari trofice genito- urinare: uscaciune vaginala,
dispareunie, frecvente infectii urinare
• Pe termen lung – scaderea masei osoase, osteoporoza

– tulburari cognitive

30
Q

Terapia in menopauza:

A
  • Progestative in premenopauza pt. tulburarile de ciclu mestrual
  • Estrogeni naturali +/_ Progestative (THS in fereastra de oportunitate ) pt tulburarile neurovegetative
  • Estrogeni local pt tulburarile trofice genitale
  • Tratamentul osteoporozei
31
Q

Cauze frecvente de ANOVULATIE CRONICA:

A
  1. SOPC
  2. Sd Cushing
  3. Hiperplaz adrenal cong
  4. tumori ovar/suprarenale

Endocrine (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions