menorrhagia Flashcards

1
Q

normal age menarche

A

12

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2
Q

normal age menopause

A

51

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3
Q

avg duration menstuation

A

< 7 days

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4
Q

avg volume

A

20-50mls

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5
Q

structural causes of HMB

A

uterine fibroids
uterine polyps
adenomyosis
<1% malignancy

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6
Q

other causes HMB

A
endocrine - hypothyroid
coagulopathy - VWD
contracepive - copper coil 
drugs - warfarin 
infection
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7
Q

HMB history

A
LMP
duration 
frequency 
quantity 
IMB/PCB
assoc symptoms - pain, discharge, dysparaenia, weight
PMH
Drugs
Obs
gynae
SH
FH
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8
Q

HMB investigations

A
GBC
USS
pipelle biopsy 
hytseroscopy 
TFTs/coag
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9
Q

medical treatment

A
mirena coil
tranexamic acid
mefanamic acid-NSAID
COC
norethisterone
injected progestogens
ferrous sulphate
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10
Q

surgical treatment

A

endometrial ablation
hysterectomy
removal uterine anomaly

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