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Gyn&OBS > Metropathia > Flashcards

Metropathia Flashcards

1
Q

Definition?

A

Acyclic bleeding preceded by periods of amenorrhea occurring from abnormal proliferative endometrium and resulting from periods of anovulation

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2
Q

Pathology?

A 
HPF 
^^FSH .. decreased LH 
^^E2 .. proliferative E ... amenorrhea 
Decreased FSH
Decreased E2 
Bleeding
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3
Q

Pathological findings?

A 
Uterus: symmetrically enlarged
,proliferative E
EH, polyp
Ovary: enlarged, +- functional cyct
..<5 cm 
No CL
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4
Q

Investigations?

A

TV US: symmetrically Enlarged uterus, +- functional cyst
Biopsy: proliferative endometrium
EH or polyp

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5
Q

C/P?

A 
Amenorrhea 
Prolonged painless 
Irregular bleeding 
PV.. symmetrically enlarged uterus 
\+- enlarged adenxea
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6
Q

TTT? 1

A 
General 
Anemia
Anti PG.. mefenamic acid
Antifibrenolytics.. tranexamic acid
Haemosattics.. diosmin
Control.. acute bleeding
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7
Q

TTT?

A 
Preg.. IOO
NO PREG.. 
COCS or Progesterone 
Levonorgestril IUD “mirena”
90% in 6 months 
Danazol 
Long acting GnRH
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8
Q

TTT? Surgery

A

D&C therapeutic
Diagnostic EH, polyp
Hysteroscopic endometrial ablation
Hysterectomy for OFA

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Gyn&OBS (13 decks)

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