Metrorragias Flashcards

1
Q

definicion de metrorragias

A

sangrado independiente de la regla no ciclico

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2
Q

definicion de hipermenorrea

A

perdidas en cantidad superior a 180ml o duracion de mas de 7 dias

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3
Q

definicion de polimenorrea

A

intervalos entre reglas menores de 21 dias

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4
Q

principales causas organicas de hemorragia uterina

A

neoplasias, endometriosis, coagulopatias, eritroplasia, traumatismos

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5
Q

porque son mas frecuentes las hemorragias uterinas en la menarquia y la perimenopausia

A

por que se presentan ciclos anovulatorios

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6
Q

definicion de hemorragia uterina disfuncional

A

no hay lesion organica sino una alteracion de la regulacion endocrina

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7
Q

tratamiento de la hemorragia uterina cuando hay un endometrio hiperplasico o proliferativo

A

gestagenos o DIU con levonorgestrel

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8
Q

tratamiento de la hemorragia uterina cuando hay un endometrio atrofico

A

estrogenos equinos conjugados

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9
Q

formula y dosis del lutoral para yugular una hemorragia uterina disfuncional

A

clormiadona/mestranol una tableta c/6 horas hasta conseguir hemostasia

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10
Q

AINES utiles en el control de la hemorragia uterina

A

naproxenos y ac. tranexamico

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11
Q

metodo quirurgico mas eficaz para contener el hemorragia de forma rapida

A

legrado uterino

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12
Q

esquema para evitar recidivas de hemorragia uterina

A

anticonceptivos orales durante 3-6 meses

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13
Q

actitud ante una mujer postmenopausica con metrorragias recidivantes

A

descartar patologia maligna con histeroscopia e indicar histeresctomia

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