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AUB N not yet classified
atrial venous malformations
Evaluation and management of abnormal uterine bleeding
MC: polys/ fibroids
R/O: galactorrhea c/ breast exam- pituitary
tumor Excess androgens: acne, hirsutism,
alopecia Anemia
Bimanual examination- tumors cysts adnexal pain
AUB tests
HCG, CBC, TSH, Prolactin, PT or aPTT, Serum iron ferriting, FSH, progesterone, pap
test, cultures, NAAT,
ferritin test for heavy menses
AUB: Management
o Normalize bleeding,
-correct any anemia,
-prevent cancer and restore quality of life
,AUB treatment
Heavy Bleeding: COC progesterone and levongesteral
IUD Denuded endometrium: High dose estrogen
therapy GNRH: can be used why women is awaiting
surgery
NSAID: 3 days before menses
Etiology, treatment, diagnosis, amenorrhea
primary amenorrhea
MC: ovarian function abnormalities * test for
estrogen other causes: pregnancy, hypothalamic
amenorrhea, PCOS,
* women who have not had a period by age 14 in absence of growth and
development
*women who have not stated their period at age 16 with normal growth and
development
secondary amenorrhea
the absence of menstruation after a period of normal menses for 6 months
amenorrhea diagnosis
FSH, LH, prolactin
levels, TSH, T3, T4
TRANSVAGINAL ULTRASONOGRAPHY, *First diagnostic
tool MRI, CT, endometrial biopsy, hysteroscopy
, 2 months
Smiles socially
Recognizes
mother Rolls from
side to back
Lifts head and holds it erect and steady
4 months
reaches out for objects in front of them
6 months
curious eager to explore objects, brining a toy to their mouth
9 months
sitting without support, using finger to point in the book
* language/communication
12 months
copy parent gestures * cognitive development
18 months
feeds self with spoon
2 years
includes other children in play time, able to run