ICM Female GU Flashcards
Know the clinical presentation, etiologies and basic introductory work up amenorrhea Know the clinical presentation, etiologies and basic introductory work up of Urinary Incontinence Know the clinical presentation, etiologies and basic introductory work up of Abnormal Uterine Bleeding
def: primary amenorrhea
16 and never had a period
def: secondary amenorrhea
def: no period in past 3 cycles or 6 months in a woman who was previously menstruation
most common area of dysfunction in secondary amenorrhea
hypothalmus
can bring on functional hypothalmic amenorrhea
stress, exercise, anorexia or brain leasion
female athlete triad
disordered eating, amenorrhea, osteoporosis
if secondary amennorhea is due to lesion, where is most commin site of lesion
hypothalmus or ovaries
sign that pituitary is cause of secondary amenohrrea
prolactinoma
presentation of hyperprolactinemia
amenorrhea, glactorrhea
most common endocrine disorder in premenopausal women
PCOS
amenorrhea, overweight, hirsutism, polysystic ovaries indicates
PCOS
FIRST TEST IN SECONDARY AMENORRHEA
preggers test
tests to order in secondary amenorrhea
HCG, prolactin, TSH
what do you do is proclactin is high in secondary amenorrhea
get an MRI of the pitiuitary region
types of urinary incontinence
urgency stress mixed overflow functional
causes of urinary incontinence
uninhibited bladder contractions of detrosuor muscle
age
interuption of CNS inhibitory pathways
bladder irritation (stones, infection, inflammation)
causes of stress incontinince
impared urethral suppport from pelvic muscles
intrinsic sphincter deficiency
casues of overflow incontinince
dterusor cannot contract
bladder outlet obstruction
most common cause of overactive bladder
parkinson’s or MS
physical exams to do for urinary incontince
vital signs, neck exam, abdominal palp, pelvic exam, rectal exam
lab to order for ALL urinary incontince complaines
UA
treatment for urge incontinince
anti-muscacinics, bladder training, treat underlining infection, remove offending medication
treatment for stress incontinince
kegsl’s alpha-adrenergic agonsists, weight loss, surgery
questions to ask in abnormal uterine bleeding
age? is this normal> assiciated sx? medications? Systemic illnesses? weight change? FMX of bleeding disorder?
role of estrogen in uterus
proliferates the endometrium
role of proesterone in uterus
stabilizes the endometrium
time when menstrual cycles may fluctiate
firt 10 years after menarche, and past 40
potential general causes of heavy bleeding with regular periods
distortion of endometrial architecture, hemostatic problem, hypothyroidism, fibroids
causes of heavy bleedin between periods
OCPs, cancer, PCOS, hormonal
pregnancy related cause of heavy bleeding
fallopian pregnancy
first test for heavy bleeding
prenancy
