Intermenstrual Bleeding | Western Sydney University - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

315

Pages:

4
Author:

Mariam A. A.

Intermenstrual Bleeding History How long has this been happening for? Have you had anything like this before? How often do you get it? Does it happen in a specific pattern? Have you had anything like this before? Can you think of what might have caused it? How much blood is there? What colour is the blood? Does the blood have lots or anything else? Does anything make it better or worse Associated features Pain? Abdominal discharge? Changes to urinary or bowel habits? Appetite or weight changes? Fever? Headaches? Vomit? Gynaecological history Date of last menstrual cycle? Regular vs irregular? Pain Age of menarche Amount Clots Obstetric history Previous pregnancies Abortions or miscarriages Mode of delivery Spontaneous or induced pregnancies? Examination Findings Vitals – assess for features of hemodynamic compromise Breast and thyroid exam Abdominal exam Pelvic exam and manual exam Speculum exam DDx and Investigations DDx Ovulation bleed Endometrial polyps Cervical ectropion Cervical polyps Cancers New contraceptives IUD Ix Bloods -> beta hCG, FBC, coagulation studies, liver function tests, thyroid tests, group and hold STI swaps if suspicious for them MCS -> for UTIs Pelvic ultrasound and TVUS -> for pelvic pathology Hysteroscopy Sonohysterscopy -> for detecting small fibroids If everything else fails -> diagnostic laparoscopy Biopsy if suspicious for cancer Management Depends on cause If there are features of instability or severe bleed Cannulas IV access Group and hold Consider foley catheter Consider traxemic acid if severe bleed NSAIDS if there is pain Contraceptives -> if endometriosis, adenomyosis or endometrial polyps or fibroids Uterine artery embolization if adenomyosis or fibroids Ablation or surgical excision Myomectomy or cone wedge recession If all of above fail -> hysterectomy

Related Documents

Intermenstrual Bleeding

Intermenstrual Bleeding - Page 1

Intermenstrual Bleeding - Page 2

Intermenstrual Bleeding - Page 3

Intermenstrual Bleeding - Page 4

of 4

Recommended Documents

Renal Week 1 Mcq Questions Study Guide

Renal Week 1 Mcq Questions Study Guide

Western Sydney University MEDI 2003 | Clinical Sciences 2

Study Guide

Renal Week 2 Mcq Questions Study Guide

Renal Week 2 Mcq Questions Study Guide

Western Sydney University MEDI 2003 | Clinical Sciences 2

Study Guide

Endocrine Week One SAQ Study Guide Questions

Endocrine Week One SAQ Study Guide Questions

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Asthma Action Plan Station

Asthma Action Plan Station

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Vaccination Schedule

Vaccination Schedule

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Newborn Lecture

Newborn Lecture

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Child With a Limp

Child With a Limp

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Spotting a Focus in Child Examination

Spotting a Focus in Child Examination

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Fever - Facts and Figures

Fever - Facts and Figures

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Red Flags in Children

Red Flags in Children

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Key Points in Respiratory Examination

Key Points in Respiratory Examination

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Key Points in Respiratory History

Key Points in Respiratory History

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

New Documents from this Course

Homeostasis, Thermoregulation and Blood Pressure

Homeostasis, Thermoregulation and Blood Pressure

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Detailed Notes about Autonomic Nervous System

Detailed Notes about Autonomic Nervous System

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Important Renal Notes

Important Renal Notes

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pharmacokinetics Study Reference

Pharmacokinetics Study Reference

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pharmacokinetic Calculations

Pharmacokinetic Calculations

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pharmacodynamics Part 1 and 2

Pharmacodynamics Part 1 and 2

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Intro to Pathology

Intro to Pathology

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Type 2 Diabets and Metabolic Syndrome

Type 2 Diabets and Metabolic Syndrome

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pathophysiology of Type 1 Diabetes

Pathophysiology of Type 1 Diabetes

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Intro to Nutrition and Metabolism

Intro to Nutrition and Metabolism

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Hormones and Metabolism

Hormones and Metabolism

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Stem Cells Study Resources

Stem Cells Study Resources

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note