Paeds Vivas · adolescent-and-young-adult-medicine
Menstrual disorders in adolescents — branching viva
Branching viva on normal cycle thresholds, PALM-COEIN classification, the heavy menstrual bleeding work-up, refractory dysmenorrhoea, amenorrhoea and confidentiality.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in adolescent clinic. The examiner moves from normal cycle thresholds to classification, a heavy-bleeding work-up, refractory dysmenorrhoea, secondary amenorrhoea and confidentiality.
Stem
The examiner tests whether you can classify and manage an adolescent's menstrual complaint, defend your work-up, and run the visit through confidential adolescent care. [1] [3]
References8ShowHide
- [1]American College of Obstetricians and Gynecologists ACOG Committee Opinion No. 651: Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign. Obstetrics and gynecology, 2015.PMID 26595586
- [2]American College of Obstetricians and Gynecologists ACOG Committee Opinion No. 760: Dysmenorrhea and Endometriosis in the Adolescent. Obstetrics and gynecology, 2018.PMID 30461694
- [3]Munro MG, Critchley HO, Fraser IS The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertility and sterility, 2011.PMID 21496802
- [4]Munro MG, Critchley HOD, Fraser IS The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. International journal of gynaecology and obstetrics, 2018.PMID 30198563
- [5]Borzutzky C, Jaffray J Diagnosis and Management of Heavy Menstrual Bleeding and Bleeding Disorders in Adolescents. JAMA pediatrics, 2020.PMID 31886837
- [6]American College of Obstetricians and Gynecologists Screening and Management of Bleeding Disorders in Adolescents With Heavy Menstrual Bleeding: ACOG Committee Opinion, Number 785. Obstetrics and gynecology, 2019.PMID 31441825
- [7]Iacovides S, Avidon I, Baker FC What we know about primary dysmenorrhea today: a critical review. Human reproduction update, 2015.PMID 26346058
- [8]Joham AE, Norman RJ, Stener-Victorin E, Legro RS, Franks S, Moran LJ Polycystic ovary syndrome. The lancet. Diabetes and endocrinology, 2022.PMID 35934017