NR 602 midterm week 1-4 latest update graded A+

NR 602 midterm week 1-4 latest update graded A+ menorrhagia heavy or prolonged menstrual bleeding metorrhagia "irregular" intermenstrual bleeding or bleeding between menstrural periods. menometorrhagia "irregular" and heavy menstrural bleeding Post-coidal bleeding that occurs after intercourse post-menopausal bleeding that occurs after a menopausal woman has not had a period at least 12 months PALM Structural abnormalitiies Polyp endocervical: bright red growth n cervix bleed easily on exam endometrial: benign growths of endometrium, asymptomatic Adenomyosis Women 40 Risks: hx of miscarrige currettage endometrial recsection, cesarean section or tamoxifen use IAUB- Leiomyoma "Fibroids" Benign pelvic tumors * leading cause of hysterectomy No symptoms may cause AUB AUB M Malignancy and Hyperplasia rare in woman at reproductive age, normal BMI, no PCOS, MC symptoms of endometrial cancer = postmenopausal bleeding COIEN Non structural abnormalities AUB C Coagulopathy clotting disorders ie von willerbrans hx of easy bruising, prolonged bleeding Anticoagulants AUB O Ovulatory dysfunction Amenorrhea, light/ heavy menses Thyroid disorders, PCOS, excessive exercise, extreme mental distress, anovulatory uterine bleeding AUB E Endometrial Heavy menstrual bleeding chlamydia trachomatis, gonorrhea endometitis AUB I Iatrogenic IUDS resolves 3-6 mo tricyclics and phenothiazines AUB N not yet classified atrial venous malformations Evaluation and management of abnormal uterine bleeding MC: polys/ fibroids R/O: galactorrhea c/ breast exam- pituitary tumor Excess androgens: acne, hirsutism, alopecia Anemia Bimanual examination- tumors cysts adnexal pain AUB tests HCG, CBC, TSH, Prolactin, PT or aPTT, Serum iron ferriting, FSH, progesterone, pap test, cultures, NAAT, ferritin test for heavy menses AUB: Management o Normalize bleeding, -correct any anemia, -prevent cancer and restore quality of life AUB treatment Heavy Bleeding: COC progesterone and levongesteral IUD Denuded endometrium: High dose estrogen therapy GNRH: can be used why women is awaiting surgery NSAID: 3 days before menses Etiology, treatment, diagnosis, amenorrhea primary amenorrhea MC: ovarian function abnormalities * test for estrogen other causes: pregnancy, hypothalamic amenorrhea, PCOS, * women who have not had a period by age 14 in absence of growth and development *women who have not stated their period at age 16 with normal growth and development secondary amenorrhea the absence of menstruation