DUB Flashcards
What are the common examination findings?
Key is in the history:
Elongated bleeding, heavy with common changing
Pale conjunctiva
No palpalpable abdo masses
No cervical excitation
No adnexal tenderness
Cusco speculum shows signs of blood but sims speculum normal
Normal anterverted uterus (may have parous uterus if previous birth)
What are the investigations?
Report back with SSPMT
To finish the exam i would like to an abdomial exam and also do the smears and swabs if not already done
By the bed - History, obs
Bloods - FBC (Anaemia) and TFTs
US not neccasary as no lumps felt
If >40 outpatient endometrial biopsy
What are the key investigation findings?
May be anaemic but the rest will be normal
What is the treatment?
Conservative - Exaplain what it is and that it isnt a pathology
Medical - Coil, mifinemic acid, COCP
Surgical - Endometrial ablation or hysterectomy
What are the risk factors?
Young
Obese
