Ob/gyn Notes - Fa For Wards

Front 1

mc cause of post menopausal vag bleeding? 2nd? 3RD?

Back 1

atrophic vaginitis - due to the thinning and shrinking of the tissues, as well as decreased lubrication. This is all due to a lack of the reproductive hormone estrogen.
2ND m/c cause = endom cxr
3rd = HRT

Front 2

must always think of in post menopausal vag bleedign? how rule out?

Back 2

endom cxr
do endom bx

Front 3

if pre-mps woman has bleeding but is not ovulating?

Back 3

is DUB= dysfxnal uterine bleeding
suspect cxr!

Front 4

if pre mps woman has bleeding, what first to check?

Back 4

if woman is ovulating
do endom sample to check
then if pt ovulating, dx AUB (abnormal ut bleeding ) and do workup

Front 5

what is workup for AUB?

Back 5

pregnancy test
ask if on any hormones? or hrt if peri/postmenopausal
pt/ptt rule out coagolopathy
endom bx for women >35 (r/o cxr)
tvag US for thickness / masses

skin and hair changes, thyroid enlargement, galactorrhea, obesity, hirsutism, cirv motion tenderness, cerv lesions, adnexal tenderness
check for uterine polyps

Front 6

thickness of postmnp endom?

Back 6

<5mm

Front 7

tx for abnormal uterine bleeding with no known pathology?

Back 7

if anovulatory -give medroxyprogesterone acetate or OCP's
if DUB: give iron NSAIDS, and OCP's or high-dose progestins in severe cases

Front 8

def of primary amenorrhea/ secondary?

Back 8

absence of menses by age 16
3 cycles or 6 mo w/o menses with normal prior menses

Front 9

diff for primary amenorrhea?

Back 9

const delay
pit failure
gonadal failure /agenesis
androg ins syndrome
mullerian abnormality
gen tract outflow obstr

Front 10

diff for 2ndary amnorrhea?

Back 10

pregnancy
prem menopause
prem ov failure (pof)
hypoth causes: hypothyroid, yper prolactinemia, anorexia,
pit causes: tumor, hemosiderosis
ov causes: PCOS, pof