Dysfunctional uterine bleeding - Revision history

Moomoodoctor: /* Clinical Features */

2024-05-12T05:45:57Z

Clinical Features

← Older revision		Revision as of 05:45, 12 May 2024
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	** One Light tampon holds ~3mL		** One Light tampon holds ~3mL
	** One Super tampon holds ~10-12mL		** One Super tampon holds ~10-12mL
	** One Maxi pad holds up to 25mL		** One Maxi pad holds up to 20-25mL

	*Other symptoms related to [[anemia]] and [[hypovolemia]] should be noted.		*Other symptoms related to [[anemia]] and [[hypovolemia]] should be noted.

2024-05-01T16:48:55Z

Background

← Older revision		Revision as of 16:48, 1 May 2024
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	==Background==		==Background==
	[[File:Figure 28 02 01.png\|thumb\|Normal female anatomy with uterus highlighted.]]		[[File:Figure 28 02 01.png\|thumb\|Normal female anatomy with uterus highlighted.]]
			[[File:Uterine arterial vasculature.svg\|thumb\|Diagram of uterine blood supply.]]
	{{Vaginal bleeding definitions}}		{{Vaginal bleeding definitions}}

2024-05-01T16:47:27Z

Background

← Older revision		Revision as of 16:47, 1 May 2024
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	''This diagnosis should be used only when all organic causes are ruled-out, which generally does not occur in the ED. See [[nonpregnant vaginal bleeding]] for the general approach.''		''This diagnosis should be used only when all organic causes are ruled-out, which generally does not occur in the ED. See [[nonpregnant vaginal bleeding]] for the general approach.''
	==Background==		==Background==
			[[File:Figure 28 02 01.png\|thumb\|Normal female anatomy with uterus highlighted.]]
	{{Vaginal bleeding definitions}}		{{Vaginal bleeding definitions}}

2024-05-01T15:47:29Z

Clinical Features

← Older revision		Revision as of 15:47, 1 May 2024
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	** One Maxi pad holds up to 25mL		** One Maxi pad holds up to 25mL

	*Other symptoms related to anemia and hypovolemia should be noted.		*Other symptoms related to [[anemia]] and [[hypovolemia]] should be noted.
	*The patient may report cramping lower abdominal pain and back pain.		*The patient may report cramping lower [[abdominal pain]] and [[back pain]].

	==Differential Diagnosis==		==Differential Diagnosis==

2024-05-01T15:46:38Z

Heavy bleeding

← Older revision		Revision as of 15:46, 1 May 2024
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	**SLE		**SLE
	**Migraines with Aura		**Migraines with Aura
	* [[TXA]] (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) po TID<ref>PMID: 29477633 DOI: 10.1016/j.contraception.2018.02.008</ref>		* [[TXA]] (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) PO TID<ref>PMID: 29477633 DOI: 10.1016/j.contraception.2018.02.008</ref>

	===Severe Bleeding===		===Severe Bleeding===

2024-05-01T15:46:25Z

References

2024-05-01T15:46:16Z

Heavy bleeding

← Older revision		Revision as of 15:46, 1 May 2024
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	**SLE		**SLE
	**Migraines with Aura		**Migraines with Aura
	* [[TXA]] (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) po TID<~~sup~~>~~[1]~~</~~sup~~>		* [[TXA]] (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) po TID<ref>PMID: 29477633 DOI: 10.1016/j.contraception.2018.02.008</ref>

	===Severe Bleeding===		===Severe Bleeding===

2024-05-01T15:45:34Z

Heavy bleeding

← Older revision		Revision as of 15:45, 1 May 2024
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	**SLE		**SLE
	**Migraines with Aura		**Migraines with Aura
	* TXA (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) po TID<sup>[1]</sup>		* [[TXA]] (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) po TID<sup>[1]</sup>

	===Severe Bleeding===		===Severe Bleeding===

2024-05-01T15:45:19Z

Management

← Older revision		Revision as of 15:45, 1 May 2024
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	==Management==		==Management==
	~~<sup>Superscript text</sup>~~===Heavy bleeding===		===Heavy bleeding===
	*[[IVF\|Fluid]] administration		*[[IVF\|Fluid]] administration
	*Estrogen-progestin OCP until gyn follow up - Preferred approach for most patients		*Estrogen-progestin OCP until gyn follow up - Preferred approach for most patients

2024-04-28T17:11:30Z

Management

← Older revision		Revision as of 17:11, 28 April 2024
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	*[[IVF\|Fluid]] administration		*[[IVF\|Fluid]] administration
	*Estrogen-progestin OCP until gyn follow up - Preferred approach for most patients		*Estrogen-progestin OCP until gyn follow up - Preferred approach for most patients
	*Contraindications to Estrogen-progestin OCP:~~- Bulleted list item:~~Age greater than 35 years;Heavy tobacco use;Hypertension;History of CVA or ischemic heart disease;SLE;Migraines with Aura		*Contraindications to Estrogen-progestin OCP:
			**Age greater than 35 years
			**Heavy tobacco use;Hypertension
			**History of CVA or ischemic heart disease
			**SLE
			**Migraines with Aura
	* TXA (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) po TID<sup>[1]</sup>		* TXA (Tranexamic acid) FDA approved for heavy menstrual bleeding. 1300mg (two 650mg tabs) po TID<sup>[1]</sup>