1 / 14

CASE PRESENTATION (4)(6)(7)

CASE PRESENTATION (4)(6)(7). Case 1: 17 yo female with primary amenorrhea. Normal pubertal development Normal health No family history of delayed puberty Not involved in athletics Does well in school Not taking any meds. Case 1: Physical Exam. Thin young woman (10% below IBW)

leo-pace
Download Presentation

CASE PRESENTATION (4)(6)(7)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. CASE PRESENTATION (4)(6)(7)

  2. Case 1: 17 yo female with primary amenorrhea • Normal pubertal development • Normal health • No family history of delayed puberty • Not involved in athletics • Does well in school • Not taking any meds

  3. Case 1: Physical Exam • Thin young woman (10% below IBW) • Normal genitalia • No galactorrhea • Tanner stage 4 Laboratory values • Urine and serum B-HCG negative • Prolactin, FSH, TSH all normal

  4. Case 1: Further history Patient’s parents concerned about her eating habits (very low fat intake and restricting calories)

  5. Diagnose in case 1: Hypothalamic Amenorrhea • Etiology is most likely inadequate caloric and fat intake. • Patient should be referred for evaluation for an eating disorder. • Chances of normal menstruation are very good if patient takes in adequate calories.

  6. Diagnose in case 1: Hypothalamic Amenorrhea • Etiology is most likely inadequate caloric and fat intake. • Patient should be referred for evaluation for an eating disorder. • Chances of normal menstruation are very good if patient takes in adequate calories.

  7. Case 2:32 years old woman with secondary amenorrhea • Menarche at age 12 • Periods have always been irregular • Now amenorrhea for resent 10 months • Overweight • Wants to get pregnant

  8. Case 2: Physical Exam • Obese female • Acne • Normal genitalia • Mild hirsutism

  9. Case 2: Laboratory findings • Urine B-HCG negative • TSH, FSH and Prolactinnormal • Testosterone 180 ng/mL • Pelvic U/S findings show polycystic ovaries

  10. U/S findings in PCOS

  11. Case 3: 29 yo woman with 18-month h/o amenorrhea • Normal development • No family history of amenorrhea • Does not exercise excessively or restrict diet • Denies galactorrhea • Has h/o abortion with subsequent D & C

  12. Case 3:Physical Exam • Normal exam • No galactorrhea

  13. Case 3: Laboratory findings • Urine B-HCG negative • Prolactinnormal • TSH, FSH, LH all was normal

  14. Case 3: Further work-up • Fails Provera challenge • Fails 1-month trial of estrogen + progesterone • Pelvic U/S shows no uterine stripe • Hysteroscope confirms diagnosis of…Asherman’s Syndrome

More Related