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Obs and gynae > disorders of menstrual bleeding > Flashcards

disorders of menstrual bleeding Flashcards

1
Q

PALM COEIN

A

Polyps
Adenomyosis
Leiomyoma
Malignancy

Coagulopathy
Ovulatory disorders
Endometriosis
Iatrogenic
Not classified
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2
Q

Causes of HMB

A 
Fibroid
Endometriosis
Adenomyosis
Endometrial polyp
Malignancy
Coagulopathy
thyroid disease
drugs (warfarin
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3
Q

what are the indications for an endometrial biopsy if HMB

A

PMB and endometrial thickness >4mm
HMB + IMB
HMB >45

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4
Q

Medical mx

A

Tranexamic acid to take during period
LNG IUS
Norethisterone
GnRH agonist

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5
Q

Surgical mx of HMB (mainly for fibroids)

A

Endometrial ablation (only if <3cm and uterus is less than 10wks size)
Myomectomy - good if pt wants to conceive
uterine artery embolisation - can help HMB from large firboids
transcervical resection - good for SUBMUCOSAL
Hysterectomy

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6
Q

Primary and secondary amenorrhea

A

Primary - from menarche (usually non-pathological)

Secondary - developed (pathological)

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7
Q

causes of secondary amenorrhea

A

PID
endometriosis and adenomyosis
Cervical stenosis and haematometra

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Obs and gynae (23 decks)

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