menstrual cycle irreg Flashcards

1
Q

diagnosis of PCOS made by

A

2 of 3 factors:
hyperandrogenism
chronic anovulation
polycystic ovaries on US

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2
Q

menometrorrhagia

A

heavy menstrual flow or prolonged duration of flow occurring at irregular intervals

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3
Q

menorrhagia

A

excessive menstrual flow or prolonged duration of flow occurring at regular intervals

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4
Q

PE for menstrual cycle irregularity

A
BMI
thyroid
skin, hair changes (thyroid disease)
breasts-galactorrhea
unexplained bruising, easy bleeding

pelvic exam (urethral, rectal, vag wall, or cervical bleeding?)

signs of infec-cervicitis may predispose to cervical bleeding
Pap smear

bimanual exam-uterus, masses? adnexa?

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5
Q

unpredictable bleeding in terms of timing and flow-dysfunctional uterine bleeding-usu implies

A

abnormality within hypothalamic pituitary ovarian axis

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6
Q

dysfunctional uterine bleeding in women younger than 35-what to do?

A

not at increased risk of endometrial cancer, so tx may be offered w/o workup beyond HPI and PE

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7
Q

a common cause of vaginal spotting

A

endometritis

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