Menstruation Flashcards

1
Q

Androgen insens vs. Mullerian primary amenorrhea on physical exam?
Test?

A

Androgen insens = No pubic hair
Mullerian = Normal pubic hair

Karyotype differentiates

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2
Q

Androgen insens vs. Mullerian primary amenorrhea on physical exam?
Test?

A

Androgen insens = No pubic hair
Mullerian = Normal pubic hair

Karyotype differentiates

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3
Q

Swyer syndrome?

A

XY with testes
- No MIF
- No Ovaries
External female, no puberty

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4
Q

Test if premature ovarian failure before 35?

A

Karyotype to r/o XO

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5
Q

Hypothyroid effect on prolactin

A

Increased Prolactin (Increased TSH)

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6
Q

Work up of 2nd Amenorrhea?

Think about what they r/o

A

1) bHCG
2) Prolactin, TSH
3) Progestin challenge (structural vs. ovarian)
4) Progestin + Estrogen challenge
5) FSH and LH

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7
Q

Menorrhagia

A

> 80 ml, >7days

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8
Q

Metrorrhagia

A

Intermenstrual bleeding

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9
Q

Oligomenorrhagia

A

> 35 day cycles

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10
Q

secondary amennorhea

A

> 6 mo without period

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11
Q

Polymenorrhea?

Cause?

A
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12
Q

Age that anyone gets endometrial BX?

A

35 years

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13
Q

CAH symptoms?

dx

A

Hirsutism + Viruliztion

Elevated 17OH P

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14
Q

Swyer syndrome?

A

XY with testes
- No MIF
- No Ovaries
External female, no puberty

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15
Q

Test if premature ovarian failure before 35?

A

Karyotype to r/o XO

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16
Q

Hypothyroid effect on prolactin

A

Increased Prolactin (Increased TSH)

17
Q

Work up of 2nd Amenorrhea?

Think about what they r/o

A

1) bHCG
2) Prolactin, TSH
3) Progestin challenge (structural vs. ovarian)
4) Progestin + Estrogen challenge
5) FSH and LH

18
Q

Menorrhagia

A

> 80 ml, >7days

19
Q

Metrorrhagia

A

Intermenstrual bleeding

20
Q

Oligomenorrhagia

A

> 35 day cycles

21
Q

secondary amennorhea

A

> 6 mo without period

22
Q

Polymenorrhea?

Cause?

A
23
Q

Age that anyone gets endometrial BX?

A

35 years

24
Q

CAH symptoms?

dx

A

Hirsutism + Viruliztion

Elevated 17OH P