Term
| Osteoporosis Risk factors |
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Definition
| Fam Hx, prev pathological factor, smoking, corticosteroid use, caucasian, low body weight |
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Term
|
Definition
All women >65 years old
High Risk: >60 years old |
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Term
|
Definition
T score<2.5 on DEXA scan
T of -1 to -2.5 is osteopenia |
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Term
| Endometrial Cancer Risk factors |
|
Definition
Unopposed estrogen therapy
Tamoxifen
Obesity
Early menarche, late menopause
estrogen secreting neoplasms
Age, HTN, Diabetes, prev hx of breast or colon cancer
Smoking is protective because it decreases estrogen levels. OCP--> opposed inc in estrogen, no inc risk |
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Term
| DDx of Vaginal bleeding in postmenopausal woman |
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Definition
1) Cervical polyps
2) Endometrial Hyperplasia (atypical complex hyperplasia is premalignant)
3) Endometrial Cancer (firm, fixed uterus on bimanual)
4) Iatrogenic causes (eg anticoagulants)
5) Systemic Causes (thyroid, hematologic, hepatic)
6) Genital tract pathology
7) Benign prolif endometrium |
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Term
| Studies in abnormal uterine bleeding in post-menopausal woman |
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Definition
| TVUS, Endometrial biopsy. CBC, TSH, LFT |
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Term
|
Definition
| VitD (800mg/day), Calcium(1200mg/day), weight bearing exercise, limit smoking and alcohol |
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Term
|
Definition
| Bisphosphonates, Estrogen Replacement therapy, Calcitonin, PTH |
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Term
|
Definition
Estrogen Replacement therapy: Helps w vasomotor, ~atrophic vaginitis, prevents osteoporosis
-inc risk of CV disease, stroke and breast cancer
-Exercise helps with hot flashes
-atrophic vaginitis rx: topical estrogen w cream or e ring. |
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