Gyn quick associations Flashcards
Positive b-hCG + intrauterine pregnancy, closed os
Threatened abortion
Enlarged uterus + menometrorrhagia for months
Fibroids, molar pregnancy, adenomyosis
Bleeding associated with severe menstrual pain
Endometriosis, adenomyosis
AUB + perimenopausal or postmenopausal
endometrial hyperplasia or cancer
AUB started with menarche
von Willebrand dz
positive b-hCG + severe pain, no fetus in uterus on US
ectopic pregnancy
AUB after intercourse + no pain, normal sized uterus
Polyp or glandular tissue on cervix
post menopausal - vaginal atrophy
AUB + wt gain, fatigue, constipation
hypothyroidism
AUB + bitemporal hemianopsia
Prolactinoma
AUB + Obesity, hirsutism, acne, insulin resistance
PCOS - confirm with U/S
Primary amenorrhea + Parent went through puberty late with subsequent normal growth and development
Constitutional delay
Primary amenorrhea + excessive exercise, stress, and or weight-loss
Functional hypothalamic amenorrhea
Primary amenorrhea + short stature, webbed neck, low hairline
Turner syndrome
Primary amenorrhea + breast development, absent uterus, no pubic/axillary hair
Androgen insensitivity syndrome - 46, XY
Primary amenorrhea + breast development, absent uterus, with pubic/axillary hair
Mullerian agenesis - normal hormone levels
Primary amenorrhea + cyclic pain, bluish vaginal bulge on exam
Imperforate Hymen
Primary amenorrhea + anosmia; no secondary sexual characteristics
Kallmann syndrome - replace hormones
Secondary amenorrhea - mc cause
Pregnancy
Secondary amenorrhea with hirsutism, insulin resistance, acne, infertility, “string of pearls” on US
PCOS
Secondary amenorrhea with clitoromegaly, Voice deepening, increase muscle mass
Elevated androgens - tumor or exogenous use
Secondary amenorrhea with fatigue, cold intolerance, weight gain, constipation, delayed relaxation of DTRs
hypothyroidism
Secondary amenorrhea + anxiety, palpitations, tremor, heat intolerance, weight loss, diarrhea
Hyperthyroidism
Secondary amenorrhea + bitemporal hemianopsia + galactorrhea
Prolactinoma
Secondary amenorrhea in patient with schizophrenia + galactorrhea
S/E of antipsychotic