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Endocrinology > Menarche > Flashcards

Menarche Flashcards

1
Q

What are the Rotterdam criteria for PCOS

A

Oligoamenorrhea

Hyperandrogenism (biochemically or clinically)

Ultrasound findings (*not sensitive nor specific in real life)

*obesity not a criteria, 30% can be lean

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2
Q

What labs do you order to help you diagnose PCOS

A

Testosterone - high

LH/FSH

17-OHP - rule out non-classic CAH

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3
Q

What are 3 things on your differential for PCOS

A

Non-classic CAH

Adrenal tumor

Ovarian tumor

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4
Q

What are the 6 broad categories for your differential for primary amenorrhea

A

Pregnancy

Hypothalamic

Pituitary - prolactinoma

Ovarian - primary ovarian failure, PCOS

Structural/outflow tract - imperforate hymen, transverse vaginal septum, Mullerian agenesis (Rokitansky)

Disorders of sex development

*same as secondary, but remove structural

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5
Q

What are hypothalamic causes of primary amenorrhea

A

Hypogonadotropic hypogonadism

  • genetic e.g. Kallman’s syndrome
  • hypothalamic - i.e. underweight/athlete triad
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6
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A
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Endocrinology (3 decks)

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