Abnormal Uterine Bleeding in the Reproductive Age Group Flashcards
1
Q
Normal cycle frequency
A
24-38 days
2
Q
Things that need to be described for menstrual patterns
A
- frequency of onset
- regularity of onset
- duration of flow
- volume of monthly blood loss
3
Q
Normal duration of flow
A
- 4.5-8 days
4
Q
Normal volume of monthly blood loss
A
- 5-80ml
5
Q
Definition of acute uterine bleeding
A
An episode of bleeding in a woman of reproductive age, who is not pregnant, that is, in the opinion of the provider, of sufficient quantity to require immediate intervention to prevent further blood loss
6
Q
Definition of chronic abnormal uterine bleeding
A
Bleeding from the uterin corpus, that is abnormal in duration, volume and/or frequency and has been present for the majority of the last 6 months
7
Q
9 main causes of abnormal uterine bleeding
A
PALM COEIN
- polyp
- adenomyosis
- leiomyoma
- malignancy and hyperplasia
- coagulopathy
- ovulatory dysfunction
- endometrial
- iatrogenic
- not yet classified
8
Q
Screening for detection of coagulation disorders
A
- heavy menstrual bleeding since menarche
One of the following
- postpartum haemorrhage
- surgical-related bleeding
- bleeding associated with dental work
Two or more of:
- bruising 1-2 times per month
- epistaxis 1-2 times per month
- frequent gum bleeding
- family history of bleeding symtpoms
