Abnormal Bleeding CPC Flashcards Preview

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Flashcards in Abnormal Bleeding CPC Deck (10):
1

Average length of menstrual cycle

24-35 days

2

Average length of menses

4-7 days

3

Menstruation refers to priming by ___

estrogen --> thicker lining --> shedding

4

Anovulatory bleeding

unopposed estrogen --> dysnchronous shedding

5

PALM-COEIN

a system to help differential dx of bleeding --> polyp, adenoma, leiomyoma, malignancy/hyperplasia + coagulopathy, ovulatory dysfunciton, endometrial, iatrogenic, not yet classified == structural and then unrelated

6

Causes: structural: uterine bleeding

fibroids, polyps, endomyosis, endometrial hyperplasia, cancer

7

Causes: structural: cervical bleeding

cancer, chronic cervicitis

8

Causes: structural: vaginal bleeding

cancer, vaginitis, hypoestrogenic vaginitis

9

Causes: hormonal: ovarian

PCOS --> unopposed estrogen,

10

Causes: hormonal: hormonal

stromal tumor, granulosa cell tumor, thecoma/androgen tumors, coagulopathies, pregnancy, pituitary tumors