Menorrhagia
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Menorrhagia, or heavy menstrual bleeding, is defined as menstrual blood loss greater than 80ml over several cycles. It is a common cause of iron deficiency anemia in women. Potential causes include physiological changes, dysfunctional uterine bleeding, fibroids, polyps, infections, blood disorders, and iatrogenic factors. Evaluation involves a history, examination, blood tests, ultrasound, and possibly endometrial biopsy. Treatment depends on underlying cause but may include NSAIDs, antifibrinolytics, contraceptive pills, progestogen therapies, endometrial ablation or resection, and hysterectomy.
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This document discusses abnormal uterine bleeding (AUB), defining it as any alteration in regularity, duration, or amount of menstrual flow. It describes various types of AUB and their causes, which can be organic or non-organic. Non-organic AUB, also called dysfunctional uterine bleeding (DUB), has no identifiable pathology and is often due to anovulation. The document outlines treatments for AUB including medical therapies like NSAIDs, tranexamic acid, and various hormone therapies. Surgical treatments like hysteroscopy with D&C, endometrial ablation, and hysterectomy are also discussed for managing AUB.
Dub
Menstrual disorders are common reasons for women to see their doctor. The most common disorder is menorrhagia, or heavy menstrual bleeding. Menorrhagia can be caused by systemic or pelvic issues, or dysfunctional uterine bleeding (DUB). DUB is diagnosed after ruling out other causes and may involve imbalances of prostaglandins and fibrinolytic systems. Treatment involves medications like NSAIDs, combined oral contraceptives, or the levonorgestrel IUD. If medications fail, endometrial ablation or hysterectomy can provide longer term relief from heavy bleeding.
dr.salama DUB
Menstrual disorders are common reasons for women to see doctors. The most common disorder is menorrhagia, or heavy menstrual bleeding. Menorrhagia can be caused by systemic issues, pelvic pathology, or dysfunctional uterine bleeding. Treatment involves addressing the underlying cause, using medications like NSAIDs or hormonal treatments, or surgical options like endometrial ablation or hysterectomy in severe cases. A thorough history and examination is needed to determine the cause and best treatment approach.
Presentation PRENANCY INDUCED HYPERTENSION
The document discusses pregnancy-induced hypertension (PIH), including risk factors, symptoms, medical and nursing management, and interventions. PIH is a condition characterized by vasospasm and hypertension during pregnancy. Primary treatment goals are delivery of the fetus, reducing vasospasm and preventing seizures. Nursing focuses on monitoring the patient, administering medications to control blood pressure and prevent eclampsia, and delivering the baby via induction or c-section if needed to stabilize the mother's condition.
Abnormal Uterine Bleeding.pptx
Abnormal uterine bleeding is a deviation from the normal menstrual pattern. This presentation deals with causes, investigations and treatment.
Sangrado anormal
Abnormal uterine bleeding (AUB) affects over 10 million women in the US and can impact daily life. AUB is classified as ovulatory or anovulatory bleeding. Evaluation involves endometrial biopsy, transvaginal ultrasound, hysteroscopy, and other techniques to identify potential causes like fibroids or polyps. Treatment options include medical therapies like hormones, NSAIDs, or ablation procedures. Surgical treatments range from removing lesions to hysterectomy or endometrial ablation. Proper evaluation and treatment selection depends on a woman's symptoms, age, and desire for future fertility.
Aub
This document discusses abnormal uterine bleeding (AUB) and provides information on evaluating and managing AUB. It introduces the PALM-COEIN classification system for causes of AUB, which categorizes causes into 9 groups based on structural vs non-structural entities. Evaluation of AUB involves medical history, physical exam, lab tests, imaging and procedures to determine the cause. Treatment depends on the cause but may include NSAIDs, antifibrinolytic agents, or danazol to reduce bleeding through various mechanisms of action.
Aub for tomorrow
This document discusses abnormal uterine bleeding (AUB) and provides information on evaluating and managing AUB. It introduces the PALM-COEIN classification system for causes of AUB, which categorizes causes into 9 groups based on their acronym. The document describes approaches to diagnosing AUB, including medical history, physical exam, lab tests, imaging and procedures. It outlines treatment options for AUB including nonsteroidal anti-inflammatory drugs, antifibrinolytic agents, and danazol to reduce bleeding.
Amenore - Polikistik Over - www.jinekolojivegebelik.com
This document provides definitions and discusses the evaluation and treatment of amenorrhea and polycystic ovarian syndrome (PCOS). It defines types of amenorrhea and normal menstrual cycles. Evaluation includes pregnancy tests, hormone levels, and progestational challenges. Treatment depends on the underlying cause and may include birth control pills, progesterone, clomiphene, or metformin. PCOS is characterized by irregular periods and elevated androgens. Treatment focuses on weight loss, birth control pills, and improving insulin resistance.
gynaecology.PCOS.(dr.hana)
PCOS is the most common endocrinopathy affecting about 5% of reproductive aged women. It is characterized by androgen excess, menstrual irregularity, and polycystic ovaries. While androgen excess in women has been recognized since ancient times, PCOS was first identified and named by Stein and Leventhal in 1935. PCOS is considered a complex, heterogeneous disorder that is likely caused by both genetic and environmental factors. Common features include hyperandrogenism, polycystic ovaries, and insulin resistance. Treatment focuses on managing symptoms like hirsutism, amenorrhea, and infertility and may include lifestyle changes, oral contraceptives, antiandrogens, insulin sensitizers, and fertility treatments.
Polikistik Over Sendromu - PCOS - www.jinekolojivegebelik.com
The document discusses Polycystic Ovary Syndrome (PCOS), the most common endocrinopathy among women of reproductive age. PCOS is diagnosed based on two of three criteria: irregular periods, signs of high androgen levels, and enlarged ovaries with cysts. Women with PCOS have increased risks of infertility, metabolic and cardiovascular issues. Key aspects of PCOS include irregular periods due to hormonal imbalances, high androgen levels, insulin resistance, and enlarged ovaries. Treatment focuses on lifestyle changes, medication to manage symptoms and address insulin resistance, and fertility support.
Peripartum cardiomyopathy
1) Peripartum cardiomyopathy (PPCM) is a form of heart failure that develops in the last month of pregnancy or within 5 months after delivery.
2) It is diagnosed when the left ventricular ejection fraction is less than 45% and there is no other identifiable cause of heart failure.
3) Treatment involves optimization of cardiac function through medical therapy such as diuretics, ACE inhibitors, beta-blockers, and management of delivery to minimize cardiovascular stress.
Dub chandni
Dysfunctional uterine bleeding (DUB) is abnormal uterine bleeding without a detectable cause, usually due to hormonal disturbances. It is classified as anovulatory or ovulatory. Anovulatory DUB accounts for 70-80% of cases and occurs without ovulation due to continuous prostaglandin production. Treatment involves hormonal management using estrogens, progestins, or combined pills to regulate the menstrual cycle. When medical management fails, endometrial ablation or hysterectomy may be considered.
Lect 2-polycystic ovarian syndrome
Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, characterized by increased androgen production and irregular menstrual cycles. PCOS is associated with infertility, hirsutism, insulin resistance, obesity, and increased risk of diabetes and heart disease. Diagnosis is based on hyperandrogenism, chronic anovulation or oligomenorrhea, and exclusion of other disorders. Treatment focuses on regulating menses, managing insulin resistance and weight loss, and addressing long-term health risks.
Menopause
This document provides clinical practice guidelines for menopause. It defines menopause and related terms like peri-menopause. It describes the evaluation and assessment of patients, including history, examinations, and recommended lab tests. It also outlines the stages of menopause based on the STRAW+10 criteria and discusses common menopausal symptoms like vasomotor symptoms, genitourinary symptoms, and menstrual problems.
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Amenore - Polikistik Over - www.jinekolojivegebelik.com
Amenore - Polikistik Over - www.jinekolojivegebelik.com
Polikistik Over Sendromu - PCOS - www.jinekolojivegebelik.com
Polikistik Over Sendromu - PCOS - www.jinekolojivegebelik.com
More from Nick Harvey
Premenstrual syndrome
This document defines premenstrual syndrome as the occurrence of cyclical somatic, psychological, and emotional symptoms that occur in the luteal phase of the menstrual cycle and resolve when menstruation begins. It estimates that almost all women experience some symptoms, while 5% have severe symptoms. The causes are unknown but may involve hormonal fluctuations or low serotonin levels. Common symptoms include mood changes, cognitive issues, pain, and disruptions to daily life. Diagnosis involves tracking symptoms over multiple cycles. Management options range from lifestyle changes to various supplements, medications, and in rare cases, surgery. Assessing treatment effectiveness is difficult due to high placebo response rates.
Psychiatric morbidity and pregnancy
- Between 15-30% of new mothers suffer from mild depression in the postpartum period, while 10% are likely to experience major depressive illness. The risk of developing severe mental illness like postpartum psychosis or severe depression is increased 16-fold, especially in the first 3 months after delivery.
- Risk factors for mild postpartum depression tend to be psychosocial, like being single, young, having a short interval between pregnancies, or a history of chronic life difficulties or prior social services involvement. Risk factors for more serious conditions are often biological, like primiparity or a personal or family history of psychiatric issues.
- Conditions range from the mild and common "baby blues" experienced by most
Schizo obessive disorder
The document discusses a proposed subtype of schizophrenia called "schizo-obsessive disorder" where patients have obsessions and compulsions unrelated to their psychosis. A study found that patients with schizo-obsessive disorder had longer hospitalizations, took more medications, and had poorer functioning than those with schizophrenia alone. They also exhibited more negative symptoms and poorer neuropsychological performance. The findings suggest schizo-obsessive patients may have a unique clinical profile within the schizophrenia spectrum. Treatment with serotonin reuptake inhibitors along with antipsychotics may effectively treat their obsessions and improve schizophrenia symptoms.
Journal club psych
- The study assessed the effectiveness of Individual Placement and Support (IPS), a "place-and-train" employment model, compared to traditional vocational services in helping people with severe mental illness find and maintain competitive employment.
- 252 patients across 6 European countries were randomly assigned to IPS or vocational services and followed for 18 months. IPS was more effective, with 55% working at least one day compared to 28% for vocational services. IPS patients also worked more hours and days on average.
- IPS was more effective than vocational services in every vocational outcome measured, including employment rates, time spent working, and time maintained in jobs.
Hrt journal club
The WISDOM trial studied the risks and benefits of hormone replacement therapy for postmenopausal women aged 50-69. It found that for women starting HRT an average of 15 years after menopause, combined estrogen and progestogen therapy significantly increased rates of cardiovascular events and venous thromboembolism. Estrogen-only therapy showed a non-significant trend towards similar increased risks. The results supported findings from the Women's Health Initiative that combined HRT should not be used for disease prevention in older postmenopausal women.
Benign lesions of the cervix, vagina and vulva
The document discusses benign lesions that can occur on the cervix, vagina, and vulva, describing common conditions such as cervical polyps, Nabothian follicles, vaginitis, vulvar cysts and infections. It provides details on the presentation, causes, diagnosis, and treatment of these various lesions. A wide range of benign gynecological conditions are examined to help clinicians properly identify and manage non-cancerous abnormalities in these areas.
The principles of antenatal care
The document outlines the principles of antenatal care, which include predicting and preventing problems in pregnancy through medical history screening, physical exams, and education. It then describes the current approach to antenatal care, which involves prepregnancy counseling, booking and routine visits, and education classes. Finally, it provides details on the processes involved in antenatal visits, including tests, exams, screenings and monitoring the growth and health of the fetus over the course of pregnancy.
Cranial Nerves
The document discusses the cranial nerves, their functions, and clinical significance. It lists the 12 cranial nerves and provides brief descriptions of each nerve's function. It also gives examples of facial nerve damage disorders like Bell's Palsy and describes injuries or conditions where knowledge of the cranial nerves is important, such as head injuries, strokes, trauma, surgeries, infections, and tumors.
The Eye And Ear
The document discusses the eye and ear from a clinical perspective. It addresses the external eye muscles, what can go wrong with the left eye involving the trochlear nerve, and how cotton buds should not be put in the ear. It also mentions the tympanic membrane, identifying the malleus bone and discussing light reflexes in the cone of the ear.
A Brief History Of Surgery
The document provides a brief history of surgery from ancient times to modern times. It discusses early trephination and dentistry practices dating back thousands of years. It outlines ancient surgical practices and techniques in Egypt, India, Greece, and China. It then discusses the decline of surgery during the Middle Ages and developments in bleeding, infection, anesthesia, transplantation, and minimally invasive techniques in modern surgery. Key individuals and their contributions to advancing the practice of surgery are also mentioned.
General Surgery Revision
This document provides guidance for a general surgery consultation, including introducing oneself to the patient, obtaining consent and medical history, performing relevant examinations, considering appropriate investigations, developing a management plan, and being aware of potential complications. Key steps are taking a thorough surgical, medical, social and family history; conducting abdominal, breast, neck/thyroid and hernia examinations; ordering blood tests, imaging and other diagnostics; and considering both medical and surgical options for treatment and prevention of complications.
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What are the different types of Dental implants.
Are you looking for a long-lasting solution to your missing tooth?
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These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
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In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
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Menorrhagia
- 1. Dr J Romain Menorrhagia