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Y3 Reproductive > Gynaecology > Flashcards

Flashcards in Gynaecology Deck (78)
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1

What is metrorrhagia?

Regular intermenstrual bleeding

2

What is polymenorrhoea?

<21day interval

3

What is polymenorrhagia?

Increased bleeding in frequent cycle

4

What is oligomenorrhea?

Interval >35day

5

What is menorrhagia?

Prolonged + increased menstrual flow

6

What is the commonest cause of abnormal uterine bleeding?

Dysfunctional uterine bleeding

7

What is adenomyosis?

Endometrial glands + stroma in myometrium

8

How might adenomyosis present?

Menorrhagia and dysmenorrhea

9

What is the commonest cause of endometritis?

Infection

10

What is dysfunctional uterine bleeding?

Non-organic
Hormonal stimulation to endometrium disrupted

11

Does the corpus luteum form in dysfunctional uterine bleeding DUB?

No

12

What type of dysfunctional uterine bleeding is most common in young and pre-menopausal women? It is the commonest type

Anovulatory

13

How does anovulatory DUB present?

Irregular periods

14

What type of dysfunctional uterine bleeding is most common in women aged 35-45?

Ovulatory luteal phase deficiency

15

How does ovulatory luteal phase deficiency present?

Regular heavy period

16

What is the pathology behind ovulatory luteal phase deficiency?

Poor progesterone production, hence poor corpus luteum forms

17

How is dysfunctional uterine bleeding diagnosed?

Exclusion

18

What imaging modality is 1st line when investigating dysfunctional uterine bleeding?

Transvaginal US

19

When investigating DUB, if TVUS is +ve, what is the next step?

Endometrial biopsy

20

What blood tests should be done when Ix DUB?

FBC, TSH, coag screen, LFT, Cr

21

What is the 1st line Mx options for menorrhagia?

NSAID mefenamic acid OR
CHC

22

What is the name of the daycase procedure that is the last line Mx of DUB?

Endometrial ablation

23

What are the 3 types of urinary incontinence?

Stress
Urge
Mixed

24

What type of urinary incontinence occurs on exertion, sneezing or coughing?

Stress

25

What type of urinary incontinence is when there is a sudden compelling desire to urinate?

Urge

26

What is the pathology of an overactive bladder?

Involuntary detrusor contractions

27

How do you classify overactive bladder?

Wet and dry

28

Give 4 examples of storage urinary incontinence symptoms

Freq, nocturia, urgency, incontinence

29

Give 3 examples of voiding urinary incontinence symptoms

Hesitancy, strain, poor flow

30

What Ix should you do for all F PTx presenting with urinary incontinence?

Urinalysis + post-void residual