Clinic A/P, adults, OB/GYN
Postmenopausal women shouldn’t be bleeding. Every bleeding in them is abnormal and needs to be worked up. Postmenopausal Bleeding Definition: Postmenopausal bleeding is any bleeding that occurs >1 year after the last menstrual period. Cancer must always be...
Clinic A/P, adults, OB/GYN, Pharmacy and Therapeutics
Uterotonic agents for treating PPH 2/2 to uterine atony Oxytocin (Pitocin) — 1st line agent. Misoprostol (Cytotec) Methylergonovine – CONTRAINDICATED in patients with any degree of HTN or history of HTN Carboprost (Hemabate) – CONTRAINDICATED...
Clinic A/P, adults, OB/GYN
H&P + Diagnosis PCOS is a clinical syndrome, not a single d/o. It is defined by hyperandrogenism, ovulatory dysfunction, & polycystic ovaries. Dx is made w/ the Rotterdam criteria. The patient needs 2 of 3 criteria + exclude phenotypically similar androgen...
Clinic A/P, adults, ENDOCRINOLOGY, OB/GYN
Hypothalamic stimulatory hormones Pituitary hormones Function of Pituitary Hormones Corticotropin-releasing hormone (CRH) Adrenocorticotropic hormone (ACTH) -ACTH is product of POMC gene Stimulates the adrenal cortex to secrete glucocorticoids like cortisol...
Clinic A/P, adults, OB/GYN
Assessment and Plan for Secondary Amenorrhea -Algorithm for secondary amenorrhea reviewed (from AAFP). -History & Physical performed. -Reviewed all medications, including contraceptives and illicit drugs. -Definition: The cessation of previously regular menses for...
Clinic A/P, adults, OB/GYN
-Definition: Infertility is defined as the inability to conceive after one year of regular unprotected intercourse. For women ≥ 35 years of age, the timeframe to define -Will approach infertility as a problem that affects couples instead of individuals and do H&P...
