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Y4R5 - Gynecology I 👩‍🍼 > L5: Amenorrhea > Flashcards

L5: Amenorrhea Flashcards

1
Q

Def of Amenorrhea

A

Absence or cessation of menstruation “it is a symptom not a disease”.

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2
Q

Classification of Amenorrhea

A
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3
Q

Classification of Amenorrhea

  • Time of Onset
A
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4
Q

Classification of Amenorrhea

  • Cause
A
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5
Q

Classification of Amenorrhea

  • Actual occurence of menstruation
A
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6
Q

Def of 1ry Amenorrhea

A
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7
Q

Def of 2ry Amenorrhea

A
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8
Q

Def of False (Crypto) Amenorrhea

A
  • menstruation have occurred but there is outflow obstruction.
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9
Q

Def of True Amenorrhea

A

menstruation actually not happened (i.e., axis and uterine defects).

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10
Q

Examples of Physiological Amenorrhea

A
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11
Q

Physiological Amenorrhea

  • Most Common Cause of 2ry Amenorrhea
A

Pregnancy

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12
Q

Types of Pathological Amenorrhea

A
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13
Q

Eugonadotropic Amenorrhea

  • Cause
  • FSH & LH
A
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14
Q

Hypergonadotropic Amenorrhea

  • Cause
  • FSH & LH
A
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14
Q

Hypogonadotropic Amenorrhea

  • Cause
  • FSH & LH
A
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15
Q

Causes of Hypo-gonadotropic Amenorrhea

A
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16
Q

Causes of Hypo-gonadotropic Amenorrhea

  • General
A
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17
Q

Causes of Hypo-gonadotropic Amenorrhea

  • Cerebral
A
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18
Q

Causes of Hypo-gonadotropic Amenorrhea

  • Hypothalamic
A
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19
Q

Hypothalamic Causes of Hypo-gonadotropic Amenorrhea

  • Congenital
A
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20
Q

Hypothalamic Causes of Hypo-gonadotropic Amenorrhea

  • Traumatic
A

Fracture base of the skull.

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21
Q

Hypothalamic Causes of Hypo-gonadotropic Amenorrhea

  • Inflamatory
A

Meningitis & Meningo-encephalitis.

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22
Q

Hypothalamic Causes of Hypo-gonadotropic Amenorrhea

  • Neoplastic
A

….

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23
Q

Hypothalamic Causes of Hypo-gonadotropic Amenorrhea

  • Post-Irradiation Syndrome
A

….

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24
Q

Hypothalamic Causes of Hypo-gonadotropic Amenorrhea

  • Dysfunction
A
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25
Q

Pituitary Causes of Hypo-gonadotropic Amenorrhea

A
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26
Q

Pituitary Causes of Hypo-gonadotropic Amenorrhea

  • Congenital
A

Levi-Lorain syndrome “pituitary infantilism”.

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27
Q

Pituitary Causes of Hypo-gonadotropic Amenorrhea

  • Trauma & Infection
A

….

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28
Q

Pituitary Causes of Hypo-gonadotropic Amenorrhea

  • Neoplastic
29
Q

Pituitary Causes of Hypo-gonadotropic Amenorrhea

  • Dysfunction
30
Q

Causes of Hyper-Gonadotropic Amenorrhea

31
Q

Ovarian Causes of Hyper-Gonadotropic Amenorrhea

32
Q

Ovarian Causes of Hyper-Gonadotropic Amenorrhea

  • CTIN
33
Q

Ovarian Causes of Hyper-Gonadotropic Amenorrhea

  • Dysfunction
34
Q

PCOS is a common cause of ovarian amenorrhea BUT eugonadotrophic type.

35
Q

Causes of Eu-gonadotropic Amenorrhea

36
Q

Causes of Eu-gonadotropic Amenorrhea

  • Disorders of Androgen excess
A

polycystic ovarian syndrome [=PCOS].

37
Q

Causes of Eu-gonadotropic Amenorrhea

  • Uterine Causes
38
Q

Uterine Causes of Eu-gonadotropic Amenorrhea

  • CTIN
39
Q

Uterine Causes of Eu-gonadotropic Amenorrhea

  • Dysfunction
A

End organ resistance due to endometrial receptor defect.

40
Q

Causes of Eu-gonadotropic Amenorrhea

  • Outflow Tract Causes
41
Q

Def of Asherman’s Syndrome

A

Adhesion between the anterior and posterior uterine walls.

42
Q

Etiology of Asherman’s Syndrome

A

Destruction of the basal endometrium as following
- Excessive curettage, CS or myomectomy or post-inflammatory.

43
Q

Dx of Asherman’s Syndrome

  • Hx
  • Ex
  • INVx
44
Q

TTT of Asherman’s Syndrome

45
Q

TTT of Asherman’s Syndrome

  • Prophylaxis
A

avoidance of the causes.

46
Q

TTT of Asherman’s Syndrome

  • Active TTT (Medical & surgical)
47
Q

Evaluation of a case of Amenorrhea

48
Q

Evaluation of a case of Amenorrhea

  • Hx
49
Q

Evaluation of a case of Amenorrhea

  • Ex
50
Q

Evaluation of a case of Amenorrhea

  • INVx
51
Q

Evaluation of a case of Amenorrhea

  • Labs
52
Q

Evaluation of a case of Amenorrhea

  • Rads
A
  • X-ray on the hand and wrist to check bone age.
  • C.T and MRI on the brain to exclude central cause.
53
Q

Evaluation of a case of Amenorrhea

  • endoscopy
A
  • Ophthalmoscope: for visual field defects in CNS tumors.
  • Laparoscopy for evaluatioon of the gonads and uterus.
54
Q

Causes of 1ry Amenorrhea

  • Acc. to Incidence
55
Q

Causes of 2ry Amenorrhea

  • Acc. to Incidence
56
Q

How To Proceed in Diagnosis Of Primary Amenorrhea if 1

57
Q

How To Proceed in Diagnosis Of Primary Amenorrhea if 2

58
Q

How To Proceed in Diagnosis Of Primary Amenorrhea if 3

59
Q

How To Proceed in Diagnosis Of Primary Amenorrhea if 4

60
Q

How To Proceed in Diagnosis Of Primary Amenorrhea if 5

61
Q

Algorithm for 1ry Amenorrhea

62
Q

Algorithm for 1ry Amenorrhea

63
Q

Algorithm for 1ry Amenorrhea

64
Q

Algorithm for 1ry Amenorrhea

65
Q

Algorithm for 1ry Amenorrhea

66
Q

Algorithm for 2ry Amenorrhea

67
Q

TTT of Amenorrhea

A
  • Treatment of general causes
  • Hypogonadotophic Amenorrhea
  • Treatment of hyper-gonadotrophic amenorrhea
  • Treatment of euogonadotrophic amenorrhea
68
Q

TTT of Amenorrhea

  • TTT of General Causes
69
Q

TTT of Amenorrhea

  • Hypogonadotropic Amenonorrhea
70
Q

TTT of Amenorrhea

  • Hypergonadotropic Amenonorrhea
71
Q

TTT of Amenorrhea

  • Eugonadotropic Amenonorrhea

Y4R5 - Gynecology I 👩‍🍼 (18 decks)

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