Approach to Abnormal Uterine

Approach to Abnormal Uterine Ble e d ing in Prima ry Ca re

b y Liz Ro hr, FNP- BC

I'm Liz Rohr

Fa mily nurs e p ra c titio ne r, MSN fro m UCLA, 2 0 15

BSN fro m Bo s to n Co lle g e , 2 0 0 9 Fo und e r a nd CEO o f Re a l Wo rld NP LLC Online c o urs e s , p o d c a s t, Yo uTub e ,

Ins ta g ra m & Fa c e b o o k c ha nne ls

IN THIS P RES ENTATION

WE WILL COVER:

Identify common causes of abnormal uterine bleeding in primary care

Explain the diagnostic approach

Distinguish the most important diagnoses not to miss

IN THIS P RES ENTATION

WE WILL COVER:

Terminology - clarify language

Expected norms High quality history -

taking to get your diagnosis faster "Bucket" approach to diagnosis Simplified workup steps based on your history

SCOPE OF PRESENTATION

- Adolescents through adults

- Doesn't cover pregnant patients

DEFINITIONS

ABNORMAL UTERINE BLEEDING

Any variation in frequency, regularity, duration, volume from the expected norm Also includes intermenstrual bleeding and unscheduled bleeding when using hormonal therapies/ contraceptives

Unexpected menstruation in patients who have uteruses Patients of all genders centered around anatomy

New Terminology & General Categories

Terms to leave behind:

Hyp e rme no rrhe a , me no rrha g ia He a vy, p rolong e d

Polyme norrhe a Fre q ue nt Olig o me no rrhe a , a me no rrhe a

Infre q ue nt/a b s e nt Dys func tio na l ute rine b le e d ing

Ab norma l ute rine b le e d ing

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