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MRCOG part 2 > HMB > Flashcards

HMB Flashcards

1
Q

Definition

A

Menses >7
Changing menstrual products 1-2 hourly
Impacting QOL

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2
Q

Commonest cause in adolescence

A

Anovulatory cycles

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3
Q

Investigations for adolescents

A

FBC
Ferritin
Clotting

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4
Q

Causes of HMB in adolescents

A

vWF
Ehlers Danlos syndrome
PCOS
hypothyroidism
Anovulation
SLE
Endometriosis
Diabetes
AEDs
Vascular liver disease

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5
Q

Prevalence of ITP in adolescent girls with HMB

A

7%

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6
Q

Connective tissue disorder causing HMB in adolescents?

A

Ehlers Danlos syndrome
SLE (50% have HMB)

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7
Q

What are the Liver diseases causing HMB and what is the rate?

A

Vascular diseases - portal vein obstruction, Budd Chiari syndrome and Porto-sinusoidal vascular disease
21%

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8
Q

Effect of depot injection on bleeding

A

50-60% amenorrhoeic at 12 months
70% amenorrhoeic at 24 months

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MRCOG part 2 (22 decks)

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