Menstrual disorders Flashcards

1
Q

menstraul cycle?

A

follicle, luteal

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2
Q

abn uterine bleeding without bio cuase?

A

AUB

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3
Q

AUB dig, tx

A

Exclusion, NSaid, Ocp, surgery

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4
Q

primary amenorrhea workup?

A

bHCG, prolactin, FSH, LH, TSH

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5
Q

primary amenorrhea ovarian?

A

POF, PCOS,

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6
Q

2 amenorrhea causes

A

pregnant

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7
Q

heavy bleed, pit problem, scarred uterus

A

Asherman

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8
Q

dysmenorrhea is?

A

painful periods - NSAID, OCP

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9
Q

2 dysmenorrhea is due to?

A

endometriosis, fibroids, PID, adhesions.

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10
Q

2 weeks prior to menses of physical, poor conc. sxs?

A

PMS

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11
Q

PMS + functional impairment

A

PMDD - SSRI (depressed)

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12
Q

xsx = hotflashes, mood changes, vag atrophy, dyspareunia.

A

menopause

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13
Q

menopause labs?

A

high FSH,LH, low estrogen

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14
Q

menopause tx?

A

HRT, topical estrogen, SSRI

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15
Q

endometrial tissue in myometrium + menorrhagia?

A

adenomyosis (boggy uterus) only in the uterus

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16
Q

adenomyosis diag? tx?

A

US, TAH, NSAID

17
Q

uterine fibroids, AA

A

leiomyoma

18
Q

leiomyoma diag?

A

US, hard palpable mass

19
Q

leiomyoma tx?

A

hormones’, ablate, TAH

20
Q

30 yo, cyclic pain, dysmenoreah, disparenia.

A

endometriosis

21
Q

endometriosis diag?

A

laparoscopy

22
Q

endometriosis tx/

A

hormones, nsaid, ablation, tah

23
Q

endometrial hyperplasia is a precourse to?

A

endometrial adenocarcimona

24
Q

endometrial hyperplasia sxs,

A

bleeding after menopause

25
Q

endometrial hyperplasia diag/tx

A

us, biopsy.
Progestin - to get preg
TAH if atypia

26
Q

endometrial cancer 1 is due to

A

unopposed estrogen

27
Q

endometrial cancer 2 due to

A

p53

28
Q

endometrial cancer diag is?

A

endometrial biopsy

29
Q

endometrial cancer tx

A

Progesteron - child bear

TAH, SBO+ radiation