Clinic A/P, adults, OB/GYN
Patient with dysmenorrhea, pelvic pain, and dyspareunia. Endometriosis is caused by menstrual tissue in the pelvic peritoneal cavity. Infertility, dysmenorrhea, and dyspareunia with postcoital bleeding are common. Get Transvaginal Ultrasonography. Laparoscopy (with...
Clinic A/P, adults, Clinic A/P, Peds, OB/GYN
Treatment -NSAIDs are 1st-line. Start NSAID at the onset of menstruation and continue for the first 2-3 days of the menstrual cycle. Alternatively, start 1-2 days before the expected onset of menstrual period and continue on a fixed schedule for 2-3 days. Eg. Naproxen...
Clinic A/P, adults, Clinic A/P, Peds, OB/GYN
Diagnosis Definition: Abnormal uterine bleeding (AUB) refers to menstrual bleeding of abnormal quantity, duration, or schedule (i.e. it’s irregular, lasts too long, or too heavy) H&P Distinguish b/n uterine vs. non-uterine bleeding with the H&P....
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...
