Menorrhagia
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Introduction
The Case of...
a simple case introducing clincial presentation and calling for a differential diagnosis to get students thinking.
Causes and Risk Factors
Pathophysiology
Signs and Symptoms
- history
- physical exam
History
Cycle and duration of period.
Past medical history
Medications
Smoking history
Physical Exam
Investigations
- lab investigations
- diagnostic imaging
Lab Investigations
- TSH, T4(hypo, hyperthyroidism)
- CBC, iron
- INR, PTT
- endometrial biopsy
Diagnostic Imaging
Pelvic ultrasound should be
Pelvic ultrasounds are often ordered.
Transabdominal or transvaginal ultrasounds
Sonohystogram is an ultrasound done of a water-filled uterus.
Differential Diagnosis
Treatments
Much of the decisions around treatments depend on age and life circumstance; the finality of surgical interventions much be discussed extensively.
OCP
GnRH
mini-pill
high-dose estrogen for acute situations
mirena
hysterectomy
endometrial ablation
Consequences and Course
Resources and References
Topic Development
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