Term
|
Definition
Amenorrhea
Bleeding: Dark/Bright red spotting
Pain: Mild midline pelvic cramping
Uterus: Compatible withdates
BhCG: Levels Compatible with dates
US: Uterus contains yolk sac and fetus
Tx: Observation
|
|
|
Term
|
Definition
Amenorrhea
Bleeding: Heavy bright red with clots
Pain: Moderate/Severe midline pelvic
Exam: Uterus Small for dates
hCG: Less t han expected
US: Visible fetus passed, tissues in uterus
Tx: Evacuate Uterus |
|
|
Term
|
Definition
Amenorrhea
Bleeding: reduced spotting or stopped
Pain: Cramping has stopped but tender
Exam: Uterus Small for dates
hCG: Low for dates
US: Empty
Tx: Observation |
|
|
Term
|
Definition
Amenorrhea
Bleeding: Dark red spotting
Pain: Mild to moderate Cramping
Exam: Uterus small for dates
hCG: Low for dates
US: Tissue in uterus, No fetus
Tx: Evacuate Uterus |
|
|
Term
|
Definition
Amenorrhea
Bleeding: Dark red spotting
Pain: Mild/Moderate Cramping Lower quad
Exam: Uterus small, AdnexalTender +/-mass
hCG: Low
US: Thickened endometrial strip, possible adnexal mass,
Tx: Methotrexate |
|
|
Term
| Gestational Trophoblastic Disease |
|
Definition
Amenorrhea
Bleeding: Dark red spotting, bright red
Pain: Mild/moderate cramping
Exam: 50% uterus large for dates
hCG: VERY HIGH FOR DATES
US: Grape like structures, Dilatesd hydropic villi
Tx: Evacuation of Uterus |
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|
Term
|
Definition
| Heavy Bleeding of more than 80 mL Blood and or increased duration of flow>7d at regular intervals |
|
|
Term
|
Definition
| Bleeding at irregular intervals or bleeding between menstrual periods |
|
|
Term
|
Definition
| Increased loss or duration of bleeding occuring at irregular intervals |
|
|
Term
|
Definition
| Menstrual bleeding ocurring at less than 21 day intervals |
|
|
Term
|
Definition
| menstrual cycle length more than 35 days |
|
|
Term
|
Definition
| Lack of menstrual periods for more than 6 months |
|
|
Term
|
Definition
LNMP
Term, Premature, Abortion, Live birth |
|
|
Term
Relationship between hCG levels in ultrasound
1400
5100
17200 |
|
Definition
1400 Gestational sac evident
5100 fetal pole evident
17200 Fetal Heart motion detected |
|
|
Term
Production of B hCG in pregnancy
8-14 days after LH Surge |
|
Definition
|
|
Term
Production of B hCG in pregnancy
7-9 days after ovulation |
|
Definition
|
|
Term
Production of B hCG in pregnancy
2 days after expected menses |
|
Definition
|
|
Term
Production of B hCG in pregnancy
8-10 weeks from LMP |
|
Definition
| Peaking 10,000-18,000 MlU/cc |
|
|
Term
Production of B hCG in pregnancy
Remainder of pregnancy after 10th week |
|
Definition
|
|
Term
| Pt with menometrorrhagia or menorrhagia who are not pregnant and dont have cancer you R/O what? |
|
Definition
1. Endometrial polyp
2. Submucous Fibroids
3. Adenomyosis
Hysteroscopy
Saline infusion sonohysterography |
|
|
Term
| Hysteroscopy Contraindication |
|
Definition
Enlarged Uterus
Cervical Stenosis |
|
|
Term
Reproductive age women w ith monorrhagia not related to:
Pregnancy
Cancer
Benign uterine pathology |
|
Definition
Think Endocrine--> Hypothyroidism
Liver Disease
Renal Disease
Obesity |
|
|
Term
| Menorrhagia Due to Liver disease |
|
Definition
Liver is not metabolising estrogen so prolonged exposure to estrogen
Also impaired synthesis of clotting factors |
|
|
Term
Vaginal Bleeding in a Perimenopausal woman
DDx |
|
Definition
Anovulatory Cycles 50%
Neoplasm of uterus
Uterine Fibroids
Endometrial polyps
Cancer of cervix |
|
|
Term
Vaginal Bleeding in a Perimenopausal woman
what do you do? |
|
Definition
hCG
then
Sampling of endometrium to R/O hyperplasia of the uterus or CA |
|
|
Term
Post menopausal bleeding
What do you do? |
|
Definition
Endometrial bx--Unsuccessful then
Ultrasound if < 4mm observe
If > 4mm D&C and hysteroscopy
|
|
|
Term
|
Definition
1. Spotting-Bright red or dark
2. Vulva and Vagina Atrophied
3. Small Uterus
4. Thin endometrial strip (4mm or less) |
|
|
Term
| Hyperplasia or Endometrial Cancer in a post menopausal woman |
|
Definition
1. Heavier bleeding
2. Healthier appearing vulva/vagina
3. Uterus enlarged
4. Thickened endometrial strip |
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|
