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  • Abnormal Bleeding Cervical Dysplasia

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    TinaHo
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    This document discusses abnormal uterine bleeding (AUB) and cervical dysplasia. It defines the differences between dysfunctional uterine bleeding (DUB) and AUB, and lists potential causes of DUB. It also outlines criteria for referring women for endometrial biopsy. The document then discusses cervical cytology, human papillomavirus (HPV) as the main cause, and updated Pap screening guidelines. Low-grade squamous intraepithelial lesions (LSIL) are mentioned as having an 87% chance of regressing on their own.

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    Menstrual disorders

    Original Title

    Abnormal Bleeding

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    This document discusses abnormal uterine bleeding (AUB) and cervical dysplasia. It defines the differences between dysfunctional uterine bleeding (DUB) and AUB, and lists potential causes of DUB. It also outlines criteria for referring women for endometrial biopsy. The document then discusses cervical cytology, human papillomavirus (HPV) as the main cause, and updated Pap screening guidelines. Low-grade squamous intraepithelial lesions (LSIL) are mentioned as having an 87% chance of regressing on their own.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    20 views10 pages

    Abnormal Bleeding Cervical Dysplasia

    Uploaded by

    TinaHo
    This document discusses abnormal uterine bleeding (AUB) and cervical dysplasia. It defines the differences between dysfunctional uterine bleeding (DUB) and AUB, and lists potential causes of DUB. It also outlines criteria for referring women for endometrial biopsy. The document then discusses cervical cytology, human papillomavirus (HPV) as the main cause, and updated Pap screening guidelines. Low-grade squamous intraepithelial lesions (LSIL) are mentioned as having an 87% chance of regressing on their own.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 10

    Abnormal Bleeding

    Cervical Dysplasia

    Uterine Bleeding

    What is the difference between DUB


    and AUB?

    What are the possible causes for


    DUB?

    Which women are candidates for


    referral for an endometrial Bx?

    AUB

    Remember

    All amenorrhea is pregnancy in sexually


    active women until proven otherwise

    A sexual history is imperative



    Assessing AUB

    General Appearance

    Sexual Maturity

    BMI

    Skin and hair

    ead and !eck

    Breast "xam

    #elvic "xam
    $S
    #rolactin
    %S&'
    U&S
    #rogesterone (hallenge
    "ndometrial Bx
    Maturation Index

    #regnancy $est

    AUB )i**erential

    Imper*orate ymen

    Stenotic +s

    Asherman,s Syndrome

    "ndocrine Syndromes -name these.

    #(+S

    Menopause

    "ating disorders

    //// !ame more/ 0hich ones are common/



    (ervical (ytology

    (ervical cancer is uncommon

    It is caused by the persistence o* high risk


    #1

    2334 only 5533 deaths due to cervical ca

    657 o* all *emale deaths

    4&83 cancer related deaths



    #1

    #1 is the culprit

    Ac9uired during sexual intercourse

    (oloni:es in the lower GU tract

    $ ;one is susceptable

    %re9uently no s&s

    Associated with genital warts

    Many #1 types 4<= 4> being high risk



    #ap Guidelines

    Initiation o* screening appx6 ? yrs a*ter *irst


    vaginal intercourse and not later than 24 yrs6

    0omen age @3 and over with cervix

    ? or more documented consecutive


    technically satis*actory normal negatives
    within prior 43 years may elect to cease
    screening

    0hy the change in guidelines/



    'GSI'

    A87 chance o* regressing on their own

    +bservation over time is reasonable

    Aggressive treatment is reasonable



    $hink $hese $hrough

    What is ASCUS?

    ow do you follow ASCUS?

    ow do you follow up a !A! that has


    inade"uate sampling?

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