\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Ana Paula (AnaPLopes)}
\pdfinfo{
  /Title (climaterio-ginecologia-go.pdf)
  /Creator (Cheatography)
  /Author (Ana Paula (AnaPLopes))
  /Subject (Climatério - Ginecologia (GO) Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{F42C38}
\definecolor{LightBackground}{HTML}{FEF1F2}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Climatério - Ginecologia (GO) Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Ana Paula (AnaPLopes)} via \textcolor{DarkBackground}{\uline{cheatography.com/159248/cs/33595/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Ana Paula (AnaPLopes) \\
  \uline{cheatography.com/anaplopes} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 9th August, 2022.\\
   Updated 9th August, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Definições}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Menopausa:}} última menstruação da vida da mulher. É possível diagnosticar apenas retrospectivamente, após {\emph{1 ano}} sem mentruação.} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Climatério:}} período peri-menopausa de transformações hormonais de uma mulher. Transição entre período fértil e senilidade.} \tn 
% Row Count 6 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.9954 cm} x{3.9816 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Fisiologia}}  \tn
% Row 0
\SetRowColor{LightBackground}
1ª Fase & ↓ Inibina \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
 & ↑ FSH \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
 & ↑ Estradiol \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
2ª Fase & ↑ FSH \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
 & ↑ LH \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
 & ↓ Estradiol \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
 & Hipogonadismo hipergonadotrófico \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{No climatério e no período pós-menopausa, estrona \textgreater{} estradiol}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Quadro Clínico}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Sintomas vasomotores (fogachos)} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Irregularidade menstrual} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Atrofia vulvovaginal} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{↓ libido} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Osteopenia / Osteoporose} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Labilidade emocional} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Insônia} \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diagnóstico}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Anamnese + Exame Físico} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Se \textless{} 40 anos → Menopausa Precoce: solicitar FSH} \tn 
% Row Count 2 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.59264 cm} x{3.38436 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Saúde Óssea no Climatério / Pós-Menopausa}}  \tn
% Row 0
\SetRowColor{LightBackground}
Como avaliar & {\bf{Densitometria Óssea}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Quando solicitar & ≥ 65 anos (para todas) \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & Logo após menopausa se: IMC \textless{} 21; fratura prévia após 50 anos; anormalidades vertebrais radiológicas; artrite reumatoide; uso crônico de corticoide (≥ 3 meses, ≥ 5mg/dia de prednisona) \tn 
% Row Count 11 (+ 8)
% Row 3
\SetRowColor{white}
\seqsplit{Peridiocidade} & 2 em 2 anos \tn 
% Row Count 13 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Análise = Escore T & Até - 1 DP = normal \tn 
% Row Count 15 (+ 2)
% Row 5
\SetRowColor{white}
 & - 1 DP a - 2,5 DP = osteopenia \tn 
% Row Count 17 (+ 2)
% Row 6
\SetRowColor{LightBackground}
 & \textless{} - 2,5 DP = osteoporose \tn 
% Row Count 18 (+ 1)
% Row 7
\SetRowColor{white}
Tratamento & Dieta rica em cálcio \tn 
% Row Count 19 (+ 1)
% Row 8
\SetRowColor{LightBackground}
 & Exposição ao sol \tn 
% Row Count 20 (+ 1)
% Row 9
\SetRowColor{white}
 & Exercícios físicos \tn 
% Row Count 21 (+ 1)
% Row 10
\SetRowColor{LightBackground}
 & {\emph{Se osteopenia:}} cálcio + vitamina D \tn 
% Row Count 23 (+ 2)
% Row 11
\SetRowColor{white}
 & {\emph{Se osteoporose:}} cálcio + vitamina D + bifosfonato (alendronato de sódio) \tn 
% Row Count 26 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.74195 cm} x{3.23505 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Terapia de Reposição Hormonal (TRH)}}  \tn
% Row 0
\SetRowColor{LightBackground}
Janela de oportunidade & \textless{} 10 anos da menopausa E \textless{} 60 anos de idade \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Indicações & Sintomas vasomotores \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
 & Desejo da paciente \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
 & Sintomas com prejuízo na qualidade de vida \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Contra-indicações} & CA endométrio \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
 & Doença hepática grave \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
 & Sangramento vaginal de causa desconhecida \tn 
% Row Count 11 (+ 2)
% Row 7
\SetRowColor{white}
 & História de eventos tromboembólicos \tn 
% Row Count 13 (+ 2)
% Row 8
\SetRowColor{LightBackground}
 & Porfiria \tn 
% Row Count 14 (+ 1)
% Row 9
\SetRowColor{white}
Vias de reposição & Estrogênio + Progesterona VO \tn 
% Row Count 16 (+ 2)
% Row 10
\SetRowColor{LightBackground}
 & Estrogênio + Progesterona Transdérmico → indicado se HAS ou Hipertrigliceridemia \tn 
% Row Count 20 (+ 4)
% Row 11
\SetRowColor{white}
 & Estrogênio isolado → indicado para paciente histerectomizada (exceção: história de endometriose*) \tn 
% Row Count 24 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{* Se história de endometriose, mesmo se a paciente for histerectomizada tenho de fazer estrogênio + progesterona, pois pode haver interferência nos focos endometrióticos.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.53827 cm} x{2.43873 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Outras opções terapêuticas}}  \tn
% Row 0
\SetRowColor{LightBackground}
Tibolona & Indicado se queixa de ↓ libido \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Estrogênio tópico* & Indicado se apenas sintomas urogenitais \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Sintomas vasomotores + CI à TRH ou paciente não deseja & ISRS \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
 & Clonidina \tn 
% Row Count 9 (+ 1)
% Row 4
\SetRowColor{LightBackground}
 & Sulpirida \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
 & Gabapentina \tn 
% Row Count 11 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{* Estrogênio tópico não interfere no perfil lipídico}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}