AUB Flashcards
Menorrhagia
menstrual blood loss >80mL per cycle
Metrorrhagia
bleeding in between periods
Polymenorrhea
bleeding >every 21 days
Oligomenorrhea
bleeding<every 35 days
Polyp
vascular, glandular, & fibromuscular tissue growth projecting into the uterine cavity (stimulated by Estrogen)
Leiomyoma
uterine fibroid or SM benign growth (70% Caucasians, 80% AA)
Adenomyosis
glandular endometrial tissue found w/in the myometrium
Adenomyosis is more common in pts w/ a Hx of
C-section, myomectomy
Subserosal Leiomyoma
on the external surface –> Sx: bladder compression
Submucosal Leiomyoma
extend into the uterine cavity –> Sx: AUB
Hyperplasia with subclassifications
Simple without atypia (least malignant potential) – 1%
Simple with atypia – 5%
Complex without atypia – 10%
Complex with atypia (most malignant potential) – 25%
Most common Coagulopathy causing AUB
vWB Disease (deficient vWFactor, protein required for platelet adhesion)
13yo w/ heavy menstrual bleeding?
Coagulopathy
Hemorrhaging following child birth; Hx of bleeding gums
Coagulopathy
Down Syndrome lab findings
low AFP, low estriol, high hCG, high inhibin A
High AFP
Neural tube defects
High hCG
Molar pregnancy
Low hCG
Ectopic pregnancy
“snowstorm patterns”
Hydatidiform mole
Passage of “grape-like” clusters
Hydatidiform mole
Ovulatory Dysfunctions include
PCOS, hypothyroid, hyperprolactinemia, stress, obesity, anorexia
PCOS Sx
obese, hyperinsulinemia, high LH:FSH, high Androgen levels, high estrogen, an ovulation, irregular periods, hirsutism, infertility
Acanthosis nigricans
Diabetes (insulin resistance)
Globular uterus
adenomyosis
