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Role 1 > Normal/Abnormal uterine bleeding > Flashcards

Normal/Abnormal uterine bleeding Flashcards

1
Q

normal cycle interval is how many days?

A

21-38 days

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2
Q

normal duration of flow

A

4.5-8 days

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3
Q

normal amount of flow (in cc total)

A

5-80cc

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4
Q

moliminal

A

PMS symptoms

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5
Q

What increases which causes PMS symptoms?

A

progestrone

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6
Q

acute uterine bleeding

A

any episode in nonpregnant, reproductive woman who has sufficient bleeding

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7
Q

chronic uterine bleeding

A

bleeding present for 6 months or longer, abnormal in duration, volume and frequency

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8
Q

heavy menstrual bleeding

A

blood loss that interferes with the physical, emotional, social, quality of life and that can occur alone or in combination with other symptoms

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9
Q

prolonged menstrual bleeding

A

bleeding longer than 8 days

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10
Q

shortened menstrual bleeding

A

bleeding shorter than 2 days

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11
Q

light menstrual bleeding

A

reduced volume of bleeding from normal

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12
Q

intermenstrual bleeding

A

bleeding that occurs between menstrual cycles. can be cyclic and predictable or follow no particular pattern

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13
Q

PALM (classification for abnormal uterine bleeding)

A

Polys
Adenomyosis
Leiomyoma (at least 1 submuccosal myoma)
Malignancy and hyperplasia

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14
Q

PALM refers to what kind of abnormalities?

A

structural

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15
Q

COEIN refers structural or nonstructural abnormalities?

A

nonstructural abnormalities

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16
Q

COEIN

A 
Coagulopathy
Ovulatory Dysfunction
Endometrial
Iatrogenic
Not yet classified
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17
Q

Malignancy/Hyperplasia are rare in which types of women?

A

reproductive aged women, women with normal BMI

18
Q

Which women are more at risk for Malignancy/Hyperplasia

A

obese, PCOS, African

19
Q

COEIN: Ovulatory disfunction includes which type of abnormal uterine bleeding?

A

Ovulatory, anovulatory and amenorrhea

20
Q

when does Ovulatory disfunction occur and is bleeding cyclic, noncylic? PMS symptoms?

A

occurs in peak reproductive years (period is already established), bleeding is cyclic, PMS symptoms present

21
Q

when does anovulatory dysfunction occur and is it cyclic, noncyclic? PMS symptoms?

A

occurs more towards end of reproductive age, noncyclic intervals, no PMS symptoms

22
Q

what underlying problems can cause ovulatory disfunction?

A

Thyroid issues, PCOS, excessive exercise, mental distress

23
Q

what underlying problems can cause anovulatory disfunction?

A

endometrial hyperplasia, lack of progrestrone in luteal phase (which leads to unstable endometrium)

24
Q

when is the best time to do a transvaginal US

A

day4-6 of menstraul cycle

25
Q

Sonohystogram

A

uses NS to visualize uterus better

26
Q

When do you do an Endometrial biopsy if >35 years old

A

uterine lining >4mm OR any abnormal bleeding.

27
Q

When do you do an Endometrial biopsy if <35 years old

A

morbid obesity, hx PCOS, chronic anovulation, if they take tamoxifen or at risk for endometrial ca

28
Q

which drugs help suppress the endometrium?

A

Depo, OC, merina IUD

29
Q

Tranexamic acid (Lysteda) and dosage

A

drug used to decrease prostaglandins in the uterus. The uterus comes out all at once rather than in pieces. take 2 tabs TIDx5 days

30
Q

Tranexamic acid (Lysteda) puts you at risk for?

A

blood clots

31
Q

how to correct prostaglandin imbalances?

A

NSAIDS, start first day of menses x3 days

can start 24 hours prior

32
Q

D and C vs endometrial ablation

A

D and C=mowing the grass, endometrial ablation=dig out the roots

33
Q

risk factors for endometrial ca

A

> =40 years old, anovulation, PCOS, bleeding after menopause, nulliparity, overweight, tamoxifen therapy,endometrial lining >4mm

34
Q

secondary amenorrhea

A

no menses for 3 previous cycles OR 6 months total

35
Q

primary amenorrhea

A

no menses by 14 AND absence of growth or development of secondary sexual characteristics

no menses by 16 regardless of sexualcharacteristics

36
Q

disorders that can lead to amenorrhea involve which organs?

A

uterus
ovaries
pituitary
hypothalmus

37
Q

primary amenorrhea causes

A

congenital malformations, testicular feminization, lower genital tract problems, hypergonadism, ovarian enzyme disorder

38
Q

secondary amenorrhea causes

A

ashermans syndrome (scarring from D and C), cervical stenosis, OC, hyperthyroidism/hypo, PCOS, pituitary tumor

39
Q

which meds can cause amenorrhea (secondary or primary)

A

Antipsychotics, cancer chemo, antidepressants, BP drugs, allergy meds

40
Q

Endometrial uterine bleeding is cyclic? noncyclic?

A

predictive, cyclic, heavy bleeding, may have intermenstraul bleeding

Role 1 (19 decks)

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