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33 Cards in this Set
- Front
- Back
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How long is normal menstruation?
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3-5 days
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What is the normal blood loss during menstruation?
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30-80 cc
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percent of women affected by PMS?
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75%
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% of women who are mentally or physically impaired by PMS
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20-40
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% of women who have severe distress during PMS
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5
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common symptoms of PMS
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Headache, breast pain, pelvic pain, bloating
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What's PMDD
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severe symptoms of mood swings and dysphoria
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When during cycle are PMS or PMDD symptoms occuring?
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Luteal phase
(2nd half) |
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For PMS or PMDD there must be a symptom-free period of how many days in the 1st half?
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7
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Symptoms must occur in at least how many consecutive cycles to diagnose as PMS or PMDD?
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2
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PMS is associated with
a) seretonin b) dopamine c) acetylcholine d) norepinephrine |
a) seretonin
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do estrogen and progesterone appear to have an effect on PMS and PMDD?
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yes
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What dietary change seems to help ease PMS or PMDD?
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avoid nicotine and alcohol, add calcium carbonate
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What medications may help ease PMS or PMDD?
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SSRI MEDS AND MILD DIURETICS
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Painful breasts
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Mastodynia
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Which phase of the cycle may occur with mastondynia?
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Cyclical usually in luteal phase of cycle
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If pt has mastodynia, you should rule out what with the exam?
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neoplasia
mastitis (post partum) |
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Solitary or multiple cysts suggests fibrocystic change and should be followed by what exams?
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serial mammograms or ultrasounds
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Treatment of mastodynia consists of avoidance of _________
Use of a mild diuretic |
methylxanthines, nicotine, and occ.
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Cause of primary DYSMENORRHEA
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no organic cause, usually prostaglandin related from ovulatory cycles
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cause of secondary dysmennorhea?
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pathology
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cause of membranous dysmennorhea
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cast of entire endometrial cavity shed as single entity
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pathogenesis of dysmennorhea
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elevated levels of prostaglandins noted in primary dysmenorrhea
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Most common misdiagnosis is _______ (secondary dysmenorrhea)
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endometriosis
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Treatment of dysmenorrhea
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NSAIDS, and acetaminophen, continuous heat to abdomen, codeine and more potent pain relievers for severe pain, oral contraceptives will also help
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ABNORMAL BLEEDING
heavy & prolonged |
MENORRHAGIA-
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ABNORMAL BLEEDING
unusually light |
HYPOMENORRHIA-
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ABNORMAL BLEEDING
intermenstrual |
METRORRHAGIA
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ABNORMAL BLEEDING
too frequent |
POLYMENORRHEA-
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ABNORMAL BLEEDING
irregular intervals |
MENOMETRORRHAGIA-
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ABNORMAL BLEEDING
more than 35 days apart |
OLIGOMENORRHEA-
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ABNORMAL BLEEDING
'CONTACT BLEEDING' |
severe irritation of the cervix. contact bleeding with intercourse.
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D and C
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Dialate cervix and scrape out entirre lining of the uterus with a curette
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