ICM Test 4: Gynecology (Week 1)

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BrookeNH10
ID:
200370
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ICM Test 4: Gynecology (Week 1)
Updated:
2013-02-13 17:22:41
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ICM Test Gynecology Week
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ICM Test 4: Gynecology (Week 1)
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  1. Abnormal uterine bleeding with no demonstrable organic cause
    Dysfunctional uterine bleeding
  2. DUB is most commonly associated with
    Chronic anovulation
  3. 2 times when DUB is most common
    • Shoft after menarche
    • End of reproductive years
  4. Normal menses
    • Flow lasts 2-7 days
    • Cycle 21-35 days
    • Total menstrual blood loss 20-80 mL
  5. Regular cycles with prolonged duration, excessive flow
    Menorrhagia/ Hypermenorrhea
  6. Irregular cycle
    Metrorrhagia
  7. Irregular, prolonged excessive bleeding pattern
    Menometorrhagia
  8. Frequent cycles
    Polymenorrhea
  9. Infrequent cycles
    Oligomenorrhea
  10. Continuous E2 production without corpus luteum formation and progesterone production.
    Anovulatory
  11. DUB:  Most commonly after the adolescent years and before the perimenopausal years.
    Ovulatory
  12. Two Types of DUB Pathophysiology
    • Anovulatory
    • Ovulatory
  13. Exaggerated FSH release in response to normal levels of GnRH
    Anovulation

    *Because premenarchal girls have FSH > LH
  14. Corpus luteum not produced
    Anovulation
  15. Anovulation results in unopposed
    estrogen (no progesterone induced desquamatin) stimulation w/ unsustainable endometrial growth -> No uniform synchronized endometrial bleeding
  16. Long Menstrual Cycles caused by
    Halbans Syndrome:  Prolonged life span of corpus luteum cyst
  17. 3 things that result in frequent menses
    • Shortened follicular phase
    • Diminished capacity of follicles to secrete estrogens
    • Luteal phase insufficiency
  18. Cervical Shape:  Nulliparous
    round
  19. Cervial shape:  Parous
    Fishmouth
  20. Cervical Shape:  Stellate
    Previously lacerated

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