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14 Cards in this Set
- Front
- Back
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what is true menopause
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Cessation of menses for one year
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what effect does smoking have on menopause?
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Smoking decreases the age of menopause by 2 years
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please discuss some of the sx of menopause
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Disturbance on the menstrual pattern
Vasomotor instability-”hot flashes” Atrophy- dyspareunia, pruritis, urinary difficulties and incontinence Psychological issues-anxiety, depression, insomnia, decreased libido |
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FIGHT PWS...call your congressman
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PWS is a purely male syndrome
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when is the bone loss of osteoporosis greatest in menopause?
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1-2%/year the first few years after menopause then slows down
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When should a woman get a mamogram (according to almost everyone)
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yearly after 40
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When do you start doing a DEXA screen? What is it?
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Bone density screening:
Typically Dual-energy X-ray absorptiomerty (DEXA) Begin at age 65 for women with no risk factors Age 60 for those with risk factors (white/Asian, chronic steroid use, LOW BMI, alcohol) OR any post-menopausal woman with one or more risk factors (The National Osteoporosis Foundation) |
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where are DEXA bone scans taken at?
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spine and femoral neck
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what are the T scores on DEXA scans for osteopenia and osteoporosis respectively?
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Osteopenia-
T score between -1 and -2.5 Osteoporosis T score less than -2.5 |
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What is the only tx for hot flashes/flushes?
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Estrogen
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what is used to prevent endometrial hyperplasia in women with a uterus
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Cyclic progestins for withdrawal bleed
prevents risk of endometrial cancer note: continuous progesterone can help with sleep disturbances |
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What are the newest findings of the Women's Health Initiative (3)
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Coronary Artery Calcium lower in women aged 50-59 on estrogen
Breast cancer-decreased risk in women already at low risk-converse is also true VTE- increased risk of 0.22-0.30 per woman per year |
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for women who don't have an increased clotting risk, what can progesterone be protective for?
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endometrium and breast
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har har
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