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GIGU > Menarche, Puberty and Menstrual Disorders > Flashcards

Menarche, Puberty and Menstrual Disorders Flashcards

1
Q

Menarche

A

1st occurrence of menstruation

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2
Q

Primary Amenorrhea

A
  • Absence of menarche by age 13 WITHOUT secondary sexual development
    OR
  • Absence of menarche by age 15 WITH secondary sexual development
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3
Q

Secondary Amenorrhea

A

Absence of menstruation for at least 6 months

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4
Q

With secondary amenorrhea, levels of what should be checked to rule out pregnancy?

A

hCG

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5
Q

It is rare to remain amenorrheic for greater than?

A

90 days

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6
Q

Polymenorrhea

A

Abnormally frequent menses @ intervals of < 21 days

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7
Q

Oligomenorrhea

A

Abnormally infrequent menses @ intervals of > 35 days

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8
Q

Menorrhagia

A

Excessive bleeding and/or prolonged menses occurring at regular intervals

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9
Q

Metrorrhagia

A

Irregular episodes of uterine bleeding

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10
Q

Menometrorrhagia

A

Heavy AND irregular uterine bleeding

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11
Q

Intermenstrual bleeding

A

Scant bleeding at ovulation for 1 - 2 days

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12
Q

With Menorrhagia, the excessive bleeding is usually defined as > ___ mL

A

80

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13
Q

AUB

A

Abnormal Uterine Bleeding

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14
Q

What is the classification system for AUB?

A

PALM-COEIN

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15
Q

What is AUB?

A

Abnormal uterine bleeding that is NOT attributed to:

  • medications
  • blood disease
  • systemic disease
  • trauma
  • organic conditions
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16
Q

When do most AUB occur?

A

Around Menarche or Premenopausal

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17
Q

AUBs are usually caused by disruptions to the?

A

Hypothalamic-Pituitary-Ovarian axis that results in Anovulation (no egg released)

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18
Q

Structural changes in the classification system for AUB?

A

PALM

19
Q

P in PALM-COEIN

A

Polyps

20
Q

A in PALM-COEIN

A

Adenomyosis

21
Q

What is adenomyosis?

A

Extension of endometrial glands into the myometrium

22
Q

L in PALM-COEIN

A

Leiomyoma

23
Q

What is leiomyoma?

A

Fibroids - usually benign tumor in myometrium

24
Q

M in PALM-COEIN

A

Malignancy

25
Q

C in PALM-COEIN

A

Coagulopathy

26
Q

O in PALM-COEIN

A

Ovulatory dysfunction

27
Q

E in PALM-COEIN

A

Endometrial

28
Q

I in PALM-COEIN

A

Iatrogenic

29
Q

N in PALM-COEIN

A

Not yet classified

30
Q

Tanner stages classify normal?

A

Pubertal development

31
Q

What is puberty?

A

Development of secondary sex characteristics and the ability to reproduce

32
Q

Average duration of puberty?

A

4-5 years

33
Q

Between what ages does puberty usually occur?

A

10-16

34
Q

What 3 things can determine the onset of puberty?

A

Genetics
Geographic location
Nutritional status

35
Q

What race normally begins puberty earlier?

A

African Americans

36
Q

What geographic location normally begins puberty earlier?

A

Metropolitan areas at sea level

37
Q

What nutritional status level will begin puberty earlier?

A

Obese children

38
Q

What nutritional status level will begin puberty later?

A

Malnourished

39
Q

What inhibits the H-P-O axis between 4 and 10 years of age

A

CNS (Gonadostat)

40
Q

Main 4 stages of puberty

A
  1. Thelarche
  2. Pubarche/Adrenarche
  3. Maximal growth
  4. Menarche
41
Q

Thelarche

A

Breast development

42
Q

Pubarche/Adrenarche

A

Pubic and axillary hair growth

43
Q

Tanner stages for female breast development

A
  1. Preadolescent
  2. Enlargement of areolar region
  3. Further enlargement of breast and areolar region
  4. Projection of areola and papilla
  5. Mature
44
Q

Tanner stages for female pubic hair growth

A
  1. Preadolescent - no hair
  2. Sparse hair along labia
  3. Hair spreads and is darker and coarser
  4. No spread to medial thigh
  5. Inverted triangle pattern WITH some on medial thigh

GIGU (29 decks)

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