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23 Cards in this Set
- Front
- Back
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Why are anovulatory cycles shorter than ovulatory?
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the endometrium is only stimulated by estrogen because no progesterone is being produced by the corpus luteum and hence it will not be maintained
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what groups commonly have anovulatory cycles?
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adolescents and perimenopausal
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if a pt comes in and thnks they are pregnant and has no HcG indicated this, what might be the cause?
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they have delayed cycle because there is no cessation of the c. luteum producing estrogen and hence do not get their period
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dx of PMS
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@ least 2 cycles of s/sx in the luteal phase of the cycle
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PMS s/sx
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headache pelvic pain and breast tenderness
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causes of hypomenorhea
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1. obstructio/imperforate hymen
2. contraceptives 3. ashermans (repeated D/C) |
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PMDD Premenstrual dysphoric disorder
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physch. dx. PMS + tension, irritability, dysphoria, and possible lack of conc. depression and appetite changes
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Tx of PMS
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SSRIs- PMS thought to be seratonin mediated
-decrease caffeine, etoh, and tobacco -TUMS -Spirinolactone |
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Define Primary dysmenorrhea
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1. no organic cause
2. assoc w prostoglandins |
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What s/sx suggest anovulatory cycle
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no pain/ cramping. prostoglandins associated with ovulatory cycles always produce pain
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Def. of secondary dysmenorrhea
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1. pathology related
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Common causative conditions of secondary dysmenorrhea
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endometriosis
adenomyosis polyps |
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A pt comes in and thinks that they have had a miscarraige
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membranous dysmenorhea: shedding of the entire uterine lining at one time
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Tx of dysmenorrhea
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tylenol or NSAIDS (gold standard)
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#1 cause of abnormal bleeding
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pregnancy
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1st step in management of suspected ectopic pregnancy
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B hcG!
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common causative agent of menorrhagia
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fibroids (leiomyoma)
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type of anovulatory bleed that occurs wth polyps as well as CA of the cervix and uterus
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metrorhagia
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term for anovulatory cycles that are occuring >35 d apart
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oligomenorrhea
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this pattern of bleeding (oligo) is common to what groups
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perimenopausals
excessive weight loss or long distance runners |
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menometrorrhagia is what type of bleeding pattern
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sudden onset often assciated w tumor or pregnancy
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pts w infection of the cervix, genital atrophy, previous histyrectomy or early loss of ovarian fxn have this type of bleeding
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contact
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enlarged uterus suggests what
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pregnancy or adenomyosis if uniform
fibroids if irregular |
