Transcription of Appendix Algorithm for Abnormal Uterine Bleeding
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Appendix Algorithm for Abnormal Uterine Bleeding
Appendix Algorithm for Abnormal Uterine Bleeding Table of Contents Figures Boxes Figure 1. Abnormal Uterine Bleeding Between Box 1. Bleeding Patterns. Definitions and Criteria. Menarche and Menopause Box 2. Combination Oral Contraceptive Pill Figure 2. First Trimester Bleeding Box 3. Progesterone Therapy Figure 3. Severe Acute Bleeding in the Nonpregnant Patient Box 4. Uterine Bleeding : Variations of Normal and Minor Abnormalities Figure 4. Irregular Bleeding in the Nonpregnant Patient Box 5. Evaluation for Systemic Cause of Abnormal Uterine Bleeding Figure 5. Menorrhagia in the Nonpregnant Patient Box 6. Contraindications Figure 6. Secondary Amenorrhea Box 7. Treatment of Polycystic Ovary Syndrome Figure 7. Oral Contraceptive Pill Associated (PCOS). Bleeding Box 8. Endometrial biopsy vs.
Ectopic pregnancy? Refer for surgery or methotrexate Follow closely as outpatient Consistent with inevitable abortion (open cervix, no passage of POC). Ultrasound, quantitative serum HCG. Expectant management vs. suction curretage vs. misoprostol (e.g., Zhang et al) depending on amount of bleeding, signs of infection and patient preference.
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