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15 Cards in this Set
- Front
- Back
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MC cause of abnormal uterine bleeding - gold dx? |
PCOS - endometrial sampling |
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tx acute hemorrhage of abnormal uterine bleeding - est. normal pattern with? |
IV or PO high dose ESTROGEN - OCP - cyclic estrogen/progestin |
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MC cause of secondary amenorrhea |
pregnancy -2 amen: no period for 6 months |
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loss of menses for more than 1 year bc of loss of ovarian function - dx? - mc sx? - avg age? |
menopause - 51.5y - DX: FSH > 30 - change in sleep cycle |
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menopause tx: pt w/no risk of breast CA + NO uterus - pt w/uterus? |
estrogen only = NO risk breast CA + NO uterus - estrogen + progesterone = pt w/ uterus |
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Dx: osteoporosis - screen post- menopause F greater than ? - MC fracture site? |
DEXA scan - >65 or <65 + risk factor - hip and pelvis fracture |
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primary 1 + 2 vs secondary osteoporosis - MC form? |
primary OP =1. post menopause women 2. old ppl secondary OP = bone loss due to CA/steroid use |
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DEXA: T score -1 to -2.5 -T score lower than 2. 5? - normal T score? |
osteopenia -1 to -2.5 - osteoPOROSIS lower than 2. 5 - normal bone density +1 to -1 |
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Tx drug osteoporosis |
biphosphonate (take empty stomach + upright) |
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MC endometriosis sites - 2 |
pelvis + ovaries |
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Pt classic triad = cyclic premenstrual pelvic pain (low back pain) + dysmenorrhea + dysparunia - MC cause of ? |
endometriosis - MC cause of infertility |
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Definitive dx endometriosis - tx drug ? - tx for severe |
laparoscopy with biopsy - GnRH agonist: Lupron (suppresses FSH/LH = estrogen suppress = no endometrium growth) - TAH-BSO (total ab. hysterectomy + ovary removal) |
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island of endometrial tissue within the myometrium - dx? - tx? |
adenomyosis - painful - dx of exclusion - tx - TAH hysterectomy |
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Pt: female + older than 35 + abnormal bleeding must ? |
must BIOPSY ( endometrial biopsy) |
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Dx confirms ovarian cyst - Tx drugs 2? |
pelvic US - metformin + lupron |
