Vaginal bleeding

Question 1

DD vaginal bleeding non pregnant

Answer 1

DIMERS
diet/drugs - anti clot drugs, OCD, HRT
Infections
Metabolic - hypothyroidism
Enviromental - anatomical/ trauma
R- xx
S - tress/specific

Atrophic vaginatis - intermittent with secretions
Bleeding problems
Cervical - post coital
Dub
Endometrial - old age

Question 2

DD vaginal bleeding pregnancy

Answer 2

Miscarriage
placenta previa
abruptio placenta

Question 3

investigations on AUB

Answer 3

Bhcg, prolactin, Pgoresterone 21, FSH/LH, androgens
TSH
CBC diff, Coagulation profile, liver Function test, BUn, Crea
ultrasound, Sonohysterogram, Hysterosapingography,
Pap smear, endometrial biopsy, , D & C

Question 4

Managment DUB

Answer 4

Mild Nsaids, Tranexamic, Combined OCP, Progestin 14 days of each month if oligomenorrheic, Danazol pseudomenopause, Mirena IUD