Abnormal Uterine Bleeding Flashcards Preview

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Flashcards in Abnormal Uterine Bleeding Deck (16):
1

Menorrhagia

Greater than 7 days or more than 80 ul of uterine bleeding occuring at regular intervals

2

Metorrhagia

Uterine beeding that occurs at irregular but frequ3nt intervals

3

Menomettorhagia

Prolonged uterine bleeding occuring at irregular but frequent intervals

4

Polymenorrhea

When uterine bleeding occurs at intervals of less than 21 days

5

Intermenstrual bleeding

Bleeding of variable amounts occuring between regular menstrual periods

6

The three most common GYN complaints

pelvic pain, vaginal discharge, uterine bleeding

7

Abnormal uterine bleeding divided into two categories

1) Organic-

2) Dysfunctional- things relating to the HPA (pypothalamic Pituitary axis

8

AUB related to pregnancy can be caused by

1) Implantation bleeding

2) Abortion

3) Molar Trophoblastic

4) Ectopic

9

DES exposure can be a cause of abnormal vaginal bleeding because it may cause what

clear cell vaginal CA

10

Which type of cancer is most common in the cervix?

Squamous Cell

11

AUB related to drug effects?

Any drug that affects the liver's metabolism of estrogen or production of clotting factors..ok

12

What are the kinds of pts that you would want to make sure and do an edometrial biopsy on due to their risk of having cancer?

Pts over the age of 35
Pts with risk factors such as obesity (>90 kg), infertility, nulliparity (No offspring), family history of colon cancer, any other cause of excess estrogen

13

Treatment of AUB

Estrogen

Premarin- IV Estrogen

14

You definitely would not want to give Estrogen to someone with ER Breast cancer or history of DVT

ok

15

Quickest way to stop acute bleeding surgically

Dilation and Curetage...
It is rarely curative however but is recomended in pts with higher risk of endometrial neoplasia

16

What is the treatment of choice when hypovolemia is present

D and C