Created at 12:07 a.m. Jun, 08, 2024
Author: meeraratani
Related Note: 1556813081122 1
Rationale for change

The pathway shows for those over 45 TSH and prolactin is only for certain cases as menopause is more likely while for women under 45 it is better to first rule out an underlying endocrine disorder

Source: UWorld - Step 2 4136

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Extra
- Secondary amenorrhea = no menses for ≥ 3 months in patients with previously regular menses or ≥ 6 months in patients with previously irregular menses

- Assess for the most common causes of secondary amenorrhea (hyperprolactinemia, hypothyroidism, premature ovarian failure)


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#AK_Step2_v12::#Subjects::Endocrinology::02_Pituitary_Gland::Anterior_Pituitary::Pituitary_Adenoma #AK_Step2_v12::Original_decks::Dorian::obgyn::hyfacts #AK_Step2_v12::#UWorld::COMLEX::101009 #AK_Step2_v12::#Resources_by_rotation::ObGyn::ome::gyn::secondary_amenorrhea #AK_Step2_v12::!FLAG_THESE_CARDS::Potential_duplicates #AK_Step2_v12::Original_decks::Dorian::im::ome::endo::anterior_pit #AK_Step2_v12::#Resources_by_rotation::ObGyn::uw::zanki::misc #AK_Step2_v12::#SketchyOBGYN::06_Reproductive_Endocrinology_&_Infertility::01_Reproductive_Endocrinology::03_Secondary_Amenorrhea_DDx #AK_Step2_v12::#Resources_by_rotation::ObGyn::nbme::form_7 #AK_Step2_v12::#UWorld::Step::4220 !AK_UpdateTags::AnKing_Image::Mujeeb::AUB_&_amenorrhea #AK_Step2_v12::#UWorld::COMLEX::100926 #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#Resources_by_rotation::IM::ome::endo::anterior_pit #PANCE::REPRODUCTIVE::bleeding_disorders #AK_Step2_v12::#Resources_by_rotation::FM::ome::gyn::secondary_amenorrhea #AK_Step2_v12::#OME::05_Obstetrics_and_Gynecology::01_Gynecology::03_Reproductive_Endocrinology::03_Secondary_Amenorrhea #AK_Step2_v12::#Subjects::Endocrinology::02_Pituitary_Gland::Anterior_Pituitary::Pituitary_Adenoma::Prolactinoma #AK_Step2_v12::$AnKingUpdates::$Errata::v10-minor_text_changes #AK_Step2_v12::#Resources_by_rotation::ObGyn::uw::dorian !AK_UpdateTags::step2PotentialDupes::anking_surgery::dupe_within #AK_Step2_v12::Original_decks::Dorian::obgyn::uw #AK_Step3_v12::#UWorld::13160 #AK_Step2_v12::#B&B::11_Obstetrics_and_Gynecology::02_Gynecology::04_Secondary_Amenorrhea #AK_Step2_v12::#AMBOSS::c70akh #AK_Step2_v12::#AMBOSS::BI0zUh #AK_Step1_v12::#B&B::20_Repro::07_Other::02_Hypogonadism::Extra #AK_Step2_v12::#UWorld::COMLEX::102467 #AK_Step2_v12::Original_decks::Zanki_Step_2::ObGyn::Misc #AK_Step2_v12::#UWorld::Step::4136 #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::01_Gynecology::*Irregular_Menses::Amenorrhea_Other::Secondary_Amenorrhea #PANCE::EOR::WOMENS_HEALTH #AK_Step2_v12::#COMBANK::458020 #AK_Step2_v12::#OME::Clinical::05_Obstetrics_and_Gynecology::01_Gynecology::03_Reproductive_Endocrinology::03_Secondary_Amenorrhea #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::01_Gynecology::*Irregular_Menses::Amenorrhea_Other #AK_Step2_v12::#Resources_by_rotation::ObGyn::hyfacts #AK_Step2_v12::#UWorld::Step::14025 #PANCE::ENDO::pituitary_disorders !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::OBGYN::3-HY-Facts #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::2obgyn