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OnlineMedEd Shared "OME: Approach to Vaginal Bleeding" - 5 Picmonics

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OME: Approach to Vaginal Bleeding

Ovulatory Hormones I - Follicular Phase
Characteristics
0-14 Days
GnRH Stimulates FSH and LH
Follicle Secretes Estrogen
Negative Feedback from Estrogen
Increased Estrogen Leads to Positive Feedback
FSH and LH Surge
LH Spike Leads to Ovulation
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2 mins
Ovulatory Hormones II - Luteal Phase
Days 15-28
Corpus Luteum
Secretes Progesterone
Negative Feedback inhibits FSH and LH
No pregnancy forms Corpus Albicans
Stops Estrogen Secretion
Endometrial Sloughing - Menses
GnRH secretion produces new follicular phase
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2 mins
Endometrial Hyperplasia
Characteristics
Unopposed Estrogen
With or Without Atypia
Signs and Symptoms
Postmenopausal Vaginal Bleeding
Amenorrhea
Menorrhagia
Metrorrhagia
Short Menstrual Cycles
Diagnosis
Transvaginal Ultrasound
Treatment
Progesterone
Complications
Endometrial Carcinoma
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2 mins
Vaginal Cancer
Characteristics
HPV 16, 18
Squamous Cell Carcinoma is Most Common Subtype
Clinical Features
Vaginal Bleeding
Leukoplakia
Diagnosis
Colposcopy with Biopsy
Management
Radiation Therapy
Surgery
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2 mins
Dysfunctional Uterine Bleeding
Assessment
Bimodal Age Distribution
Painless Vaginal Bleeding
Amenorrhea
Menorrhagia (Heavy Menstrual Bleeding)
Metrorrhagia (Bleeding Between Menses)
Interventions
Balloon Thermotherapy
Hormone Medications
Dilation and Curettage (DandC)
Considerations
Monitor for Anemia
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3 mins

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