Abnormal Uterine Bleeding Flashcards
How long is normal menstrual bleeding?
5 days (range 2-7days)
What is mean blood loss per cycle during menstrual cycle?
40ml
Blood loss over 80ml is called?
Menorrhagia
Bleeding between periods is called?
Metrorrhagia
Bleeding that occurs more often than every 21 days is called?
Polymenorrhea
Bleeding that occurs less frequently than every 35 days is called?
Oligomenorrhea
What descriptive terms are used to denote menstrual bleeding?
Heavy
Light
Menstrual
Intermenstrual
What is PALM-COEIN?
Poly
Adenomyosis
Leiomyoma
Malignancy
(PALM are structural in nature)
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not Yet classifed
AUB in adolescents is usually the result of what?
Anovulation
Patient presents with painful menstruation, spotting and signs of anemia (fatigue, pallor, lightheadedness, pica) what condition might they have?
Abnormal Uterine Disease
What pertinent hx should be taken into account when dx AUB?
Hx of:
Duration, flow, pain, LMP, blood clots, degree of inconvenience, systemic infections, emotion/physical stressors, thyroid disease or weight change
What medications should be taken into account when considering dx of AUB?
Anticoagulants:
Warfarin, Heparin
And exogenous hormones
What labs should be done when evaluating for AUB?
CBC, HCG, thyroid, coagulation studies, GC, pap, endometrial sampling
What imaging should be done when evaluating AUB?
Transvaginal US
Sonohysterography, hysteroscopy
Where should AUB patients be referred to?
OB-GYN
