Hemorragia Uterina Anormal

[object Object],[object Object],[object Object],[object Object],Catedrático: Dr. Julio Edwin Cordero Santa Ana junio de 2,009 Hemorragia Uterina Anormal

Definición ,[object Object],[object Object]

Definiciones de irregularidades del ciclo menstrual ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Definiciones de irregularidades del ciclo menstrual

Ciclo menstrual normal ,[object Object],[object Object]

Clasificación. ,[object Object],[object Object],[object Object],[object Object]

Categorías. ,[object Object],[object Object],[object Object],[object Object]

Edad Prepuberal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas de hemorragia vaginal en niñas pre púberes. Vulvares y externas Vulvitis con excoriación Traumatismos (caídas a horcajadas) Liquen escleroso Condilomas Molusco contagioso Prolapso uretral Vaginales Vaginitis Cuerpo extraño vaginal Traumatismos (abuso, penetración) Tumor vaginal Uterinas Pubertad precoz Tumor ovárico Tumor de células de la granulosa Tumor de células germinales Estrógenos exógenos Tópicos Enterales

Diagnóstico ,[object Object],[object Object],[object Object],[object Object]

Tratamiento ,[object Object],[object Object]

Adolescencia ,[object Object],[object Object],[object Object]

Menstruación normal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico diferencial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico diferencial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico diferencial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Atención ,[object Object],[object Object],[object Object]

Anovulación: Hemorragia leve ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hemorragia aguda: Moderada ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hemorragia aguda: Tratamiento de urgencia ,[object Object],[object Object],[object Object],[object Object],[object Object]

Supresión hormonal a largo plazo ,[object Object],[object Object],[object Object],[object Object],[object Object]

Causas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hemorragia relacionada con el embarazo ,[object Object],[object Object],[object Object]

Hormonas exógenas ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

Causas endócrinas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas anatómicas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

Coagulopatías y causas hematológicas ,[object Object],[object Object],[object Object],[object Object]

Causas infecciosas ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Neoplasia ,[object Object],[object Object],[object Object],[object Object]

Estudios de laboratorio ,[object Object],[object Object],[object Object]

Estudios de imagen ,[object Object],[object Object]

Tratamiento médico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento quirúrgico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Posmenopausia ,[object Object],[object Object]

Causas de hemorragia posmenopáusica FACTOR PORCENTAJE APROXIMADO Estrógenos exógenos 30 Endometritis y vaginitis atrófica 30 Cáncer endometrial 15 Pólipos endometriales o cervicales 10 Hiperplasia endometrial 5 Diversos ( CA cervicouterino, sarcoma uterino, carúncula uretral traumatismo) 10

Trastornos benignos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neoplasias ,[object Object],[object Object],[object Object],[object Object]

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gracias por su atención

Hemorragia Uterina Anormal

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Hemorragia Uterina Anormal