Lets get physical
Most reactions occur with use of this type of topical agent.
Biologic Agent
Oligomenorrhea definition
What is bleeding that occurs less frequently than every 35 days.
The recommended regimen for Provera used for acute AUB
What is 20mg TID for 7 days?
A sonohysterogram is better at detecting this than a transvaginal ultrasound
What is an intracavitary lesion (polyp or submucosal fibroid)?
The mechanism behind abnormal bleeding in ovulatory dysfunction
What is unopposed estrogen?
The type of agent that is not appropriate for someone with a coagulopathy
What is a physical agent?
Two or more of the following symptoms and they should be considered for future evaluation for hemoglobinopathy (list at least 3)
Frequent gum bleeding
Family history of bleeding symptoms
Heavy Menstrual bleeding since menarche
PPH
surgery related bleeding
bleeding associated with dental work
This treatment may help acute AUB in patients with von Willebrand disease if the patient is known to respond to that agent
What is desmopressin?
The two imaging modalities can be used to diagnose adenomyosis
What is transvaginal ultrasonography and MRI?
The cancer may be missed by a blind endometrial biopsy if that cancer occupies less than this amount (percentage) of surface area of the endometrial cavity
What is less than 50%
The steps of the clotting cascade, common pathway only
What is Factor Xa (activated factor X) helps convert prothrombin to thrombin. Thrombin then converts fibrinogen to fibrin. Fibrin becomes cross-linked and serves as a scaffold for the platelets, ultimately resulting in a stable fibrin clot?
Laboratory tests you should order when first evaluating AUB
What is a CBC, pregnancy test, targeted screening for bleeding disorders (when indicated), THS, Chlamydia?
2 contraindications to use of TXA
What is Acquired impaired color vision?
Current thrombotic or thromboembolic disease
Used with caution with hx of VTE or with use with OCPs
Adenomyosis is best visualized with MRI using this type of image
List one of the mechanisms for ovulatory AUB
What is?
Name 3 of the caustic agents
What is : aluminum chloride?
ferric subsulfate 20% (Monsel's)
silver nitrate
zinc chloride paste
4 of the most common reasons for AUB in someone 13-18 years of age
What is persistent anovulation due to HPO axis dysfunction?
OCPs or hormone contraceptives
pregnancy
PID
Coagulopathies
Tumor
The suggested dose and timing of conjugated equine estrogen
In a study of euthyroid women, those with heavy menstrual bleeding had significantly decreased levels of this hormone
The percentage of women who present with heavy menstrual bleeding who have an underlying bleeding disorder
What is 20%
A Physical Agent that should not be used with topical thrombin, since it will inactivate it, due to it's low pH.
What is oxidized regenerated cellulose (i.e. surgicel)?
List 2 of the most common herbal remedies that may cause AUB
What is?
Recommended dose of ethinyl estradiol in OCPs used for acute AUB
What is 35 mcg?
The specificity and sensitivity of transvaginal ultrasonography in evaluating intracavitary pathology (correct within 10% of the value)
What is 56% sensitive? (ruling OUT)
73% specific (ruling IN)
The mechanism behind abnormal bleeding due to ovulatory dysfunction
What is the result of an endocrinopathy, such as PCOS?