Flashcards in Amenorrhea (Primary) Deck (12)
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Definition of primary amenorrhea?
No menses by age 16
1
Most common causes of primary amenorrhea if normal breast development?
Mullerian agenesis and androgen insensitivity
2
Patient with primary amenorrhea and born with only one kidney – likely diagnosis?
Mullerian agenesis (significant fraction of these patients will have urinary tract abnormality)
3
Patient with primary amenorrhea and scant hair?
CAH
4
Patient with primary amenorrhea and absence of breast development?
Gonadal dysgenesis (turner syndrome)
5
46 XX female with congenital absence of uterus, cervix, and fallopian tubes? Do have what anatomical parts?
Mullerian agenesis; Ovaries (ovaries are not Mullerian structures)
6
Three most common causes of primary amenorrhea?
Pregnancy, androgen insensitivity, Mullerian agenesis
7
Differences: Mullerian agenesis versus androgen insensitivity? (3)
1. Normal hair versus absent hair
2. Normal testosterone versus high testosterone
3. XX versus XY
8
Complications of CAH? Prophylaxis? (When? Why then?)
Malignancy of intra-abdominal gonads
Gonadectomy after puberty (to allow for breast development and when you grow)
9
20-year-old patient with primary amenorrhea and Tanner stage one breast development – likely diagnosis? Complication?
Gonadal dysgenesis; gonadal malignancy
10
Teenage patient with absence of breast development and short stature – karyotype reveals 46 XX – diagnosis?
Gondal dysgenesis (can also happen in XY pt)
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