Lesson 1Medical handling of abnormal womb bleeding: progestins, mixed hormone therapy, tranexamic acid, hormone womb coil — how it work, dosing, no-gosOutline medical therapies fi abnormal womb bleeding, including progestins, mixed hormone ways, tranexamic acid, an' hormone womb coil, wid how it work, dosing, no-gos, an' watching fi bad effects.
How progestin-based plans workMixed hormone therapy choicesUse of tranexamic acid an' warningsHormone coil reasons an' putting inNo-gos an' drug mixesWatching response an' adjusting therapyLesson 2Surgical an' procedure choices: womb scope, growth removal, knot removal, womb lining burn, womb take out — reasons an' around-surgery thoughtsDescribe surgical an' procedure choices fi abnormal womb bleeding, including womb scope, growth removal, knot removal, womb lining burn, an' womb take out, wid stress on reasons, no-gos, an' around-surgery risk check.
Check an' work womb scopeGrowth removal ways an' follow-upKnot removal paths an' patient pickWomb lining burn reasons an' limitsWomb take out ways an' counselingAround-surgery boost an' agreementLesson 3Womb lining sampling ways: office womb biopsy, pipelle, open an' scrape—reasons an' readingDetail reasons, ways, an' limits of office womb lining sampling, including pipelle biopsy an' open an' scrape, wid stress on sample good, path terms, an' how to read results in clinic context.
Patient pick fi office biopsyPipelle way an' pain controlWhen to pick open an' scrapeHandling not enough or failed samplesPath of overgrowth an' cancerAfter-procedure counseling an' follow-upLesson 4Today classification of abnormal womb bleeding (PALM-COEIN) an' using it in clinicExplain PALM-COEIN classification of abnormal womb bleeding, telling body from non-body causes, an' show how to use dis frame to story, exam, an' checks in everyday clinic work.
Overview of PALM body categoriesCOEIN non-body causesMapping symptoms to PALM-COEIN causesMixing imaging an' labs into diagnosisCase examples using the frameRecord an' code thoughtsLesson 5First-line checks: pregnancy test, blood count, clotting if needed, inside scan (womb lining thick thresholds)Cover first check of abnormal womb bleeding, stressing pregnancy rule out, low blood an' clotting screen, an' inside scan wid age- an' risk-adjusted womb lining thick thresholds to guide more check.
Rule out pregnancy an' outside wombBlood count, iron checks, an' low blood checkWhen to order clotting an' platelet testsInside scan way basicsWomb lining thick thresholds by risk groupImaging findings pushing urgent workupLesson 6Genetic risk check an' send paths fi suspected family cancer groups (Lynch): rules, right genetic test send triggersExplore spotting family womb lining cancer risk, focusing on Lynch group rules, family story patterns, right genetic test sends, an' linking wid genetics services an' high-risk watch programs.
Key features of Lynch-linked cancersUsing Amsterdam an' updated Bethesda rulesDanger signs in family an' personal storyWhen an' how to send fi genetic testCounseling before an' after test resultsMeanings fi relatives an' chain testingLesson 7Targeted body exam findings in abnormal womb bleeding an' signs hinting at women cancer (womb big, side lump, bad discharge)Review targeted pelvis an' body-wide exam in abnormal womb bleeding, highlighting findings dat hint at women cancer, like womb big, side lumps, an' bad discharge, an' how to record an' sort dem.
Structured pelvis exam in abnormal womb bleedingChecking womb size an' shapeCheck of side lumpsDescribing neck an' private part lesionsBad discharge an' smell patternsBody-wide signs hinting at advanced sicknessLesson 8Danger signs needing urgent check: after-stop bleeding, between-period bleeding wid lump, quick womb big, body symptoms hinting at cancerSpot bleeding patterns an' linked symptoms dat need urgent check, including after-stop bleeding, between-period bleeding wid lump, quick womb big, an' body features worrying fi hidden cancer.
After-stop bleeding checkBetween-period bleeding wid lump signsQuick womb growth an' bad growth worryBody symptoms hinting at cancerEmergency imaging an' lab prioritiesRules fi urgent send or admitLesson 9Counseling on watch, baby save choices, lifestyle changes, an' follow-up plansDeal wid counseling fi patients at higher womb lining cancer risk, including watch ways, baby save choices, lifestyle change, an' structured follow-up plans fitted to age, other sickness, an' baby goals.
Personalizing watch timesBaby save in high-risk patientsWeight, exercise, an' body controlHormone risk cut waysDesigning clear follow-up plansShared choice-making an' recordingLesson 10Targeted story an' risk factor check fi womb lining overgrowth an' cancer including family story of Lynch group an' breast/colon cancersFocus on targeted story taking fi abnormal womb bleeding an' womb lining cancer risk, including period patterns, body factors, med use, an' detailed family story of Lynch group an' linked breast or colon cancers.
Describing bleeding pattern an' how longChecking fat, PCOS, an' sugar sicknessHormone therapy an' tamoxifen touchPersonal story of women pathFamily story of Lynch-linked cancersRisk sorting an' recording
