ICM Female GU Flashcards

Know the clinical presentation, etiologies and basic introductory work up amenorrhea Know the clinical presentation, etiologies and basic introductory work up of Urinary Incontinence Know the clinical presentation, etiologies and basic introductory work up of Abnormal Uterine Bleeding

1
Q

def: primary amenorrhea

A

16 and never had a period

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2
Q

def: secondary amenorrhea

A

def: no period in past 3 cycles or 6 months in a woman who was previously menstruation

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3
Q

most common area of dysfunction in secondary amenorrhea

A

hypothalmus

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4
Q

can bring on functional hypothalmic amenorrhea

A

stress, exercise, anorexia or brain leasion

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5
Q

female athlete triad

A

disordered eating, amenorrhea, osteoporosis

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6
Q

if secondary amennorhea is due to lesion, where is most commin site of lesion

A

hypothalmus or ovaries

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7
Q

sign that pituitary is cause of secondary amenohrrea

A

prolactinoma

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8
Q

presentation of hyperprolactinemia

A

amenorrhea, glactorrhea

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9
Q

most common endocrine disorder in premenopausal women

A

PCOS

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10
Q

amenorrhea, overweight, hirsutism, polysystic ovaries indicates

A

PCOS

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11
Q

FIRST TEST IN SECONDARY AMENORRHEA

A

preggers test

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12
Q

tests to order in secondary amenorrhea

A

HCG, prolactin, TSH

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13
Q

what do you do is proclactin is high in secondary amenorrhea

A

get an MRI of the pitiuitary region

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14
Q

types of urinary incontinence

A
urgency
stress
mixed
overflow
functional
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15
Q

causes of urinary incontinence

A

uninhibited bladder contractions of detrosuor muscle
age
interuption of CNS inhibitory pathways
bladder irritation (stones, infection, inflammation)

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16
Q

causes of stress incontinince

A

impared urethral suppport from pelvic muscles

intrinsic sphincter deficiency

17
Q

casues of overflow incontinince

A

dterusor cannot contract

bladder outlet obstruction

18
Q

most common cause of overactive bladder

A

parkinson’s or MS

19
Q

physical exams to do for urinary incontince

A

vital signs, neck exam, abdominal palp, pelvic exam, rectal exam

20
Q

lab to order for ALL urinary incontince complaines

A

UA

21
Q

treatment for urge incontinince

A

anti-muscacinics, bladder training, treat underlining infection, remove offending medication

22
Q

treatment for stress incontinince

A

kegsl’s alpha-adrenergic agonsists, weight loss, surgery

23
Q

questions to ask in abnormal uterine bleeding

A

age? is this normal> assiciated sx? medications? Systemic illnesses? weight change? FMX of bleeding disorder?

24
Q

role of estrogen in uterus

A

proliferates the endometrium

25
Q

role of proesterone in uterus

A

stabilizes the endometrium

26
Q

time when menstrual cycles may fluctiate

A

firt 10 years after menarche, and past 40

27
Q

potential general causes of heavy bleeding with regular periods

A

distortion of endometrial architecture, hemostatic problem, hypothyroidism, fibroids

28
Q

causes of heavy bleedin between periods

A

OCPs, cancer, PCOS, hormonal

29
Q

pregnancy related cause of heavy bleeding

A

fallopian pregnancy

30
Q

first test for heavy bleeding

A

prenancy