Endometriosis correct answers Presence of endometrial tissue outside the endometrial cavity
- anywhere in the body
Most common sites for endometriosis correct answers - ovary (endometrioma)
- Pelvic peritoneum
Cause of sx in Endometriosis correct answers - disruption of normal tissue - fibr...
Endometriosis || with 100% Error-free Answers.
Endometriosis correct answers Presence of endometrial tissue outside the endometrial cavity
- anywhere in the body
Most common sites for endometriosis correct answers - ovary (endometrioma)
- Pelvic peritoneum
Cause of sx in Endometriosis correct answers - disruption of normal tissue - fibrosis & adhesions
- severe inflammation
- severity of sx does not correlate w/severity of physical findings
Most common reason for hospitalization of women in repro age group correct answers
Endometriosis
S/sx of Endometriosis correct answers - cyclic pelvic pain - 1-2 wks before menses until end of
menses
- Chronic because it happens every month
- dysmenorrhea
- dyspareunia
- Infertiity - mechanism unkn, may be due to adhesion blocking tubes
Endometriosis PE correct answers - may be no physical findings
- uterosacral nodularity
- retroflexed, fixed uterus
- may have adnexal tenderness or mass if an endometrioma is present
Endometriosis Dx correct answers - direct visulization of lesions via surgery
-- "powder burns", "mulberry or raspberry lesions"
-- chocolate cysts = endometriomas
- Peritoneal biopsy
chocolate cysts correct answers endometriomas
Powder burn correct answers
Endometriosis Tx correct answers Depends on extent of disease & desire for fertility
- Expectant management - wait & see
- Medical: goals
--- Pain control
--- Suppression & atrophy of endometrial tissue
- NSAIDS
- Hormonal Contraceptives
- GnRH Agonists "pseudo menopause"
- Surgical tx
, Hormonal Contraceptives in Endometriosis correct answers - Suppression of ovulation +/-
menses
-> Current implants atrophy & new implants do not form
-> Alleviates cyclic pain & dysmenorrhea
GnRH Agonists in Endometriosis correct answers Pseudo menopause
- Suppression of LH & FSH
-> No estrogen production from ovary
-> Implants atrophy & new implants do not form
Surgical Tx of endometriosis correct answers - Ablation or excision of implants
- Hysterectomy
--- +/- bilateral salpingo-oophorectomy
--- lysis of adhesions & destruction of implants
Adenomyosis correct answers endometrial tissue in the myometrium
Adenomyosis PE correct answers Diffusely mildly enlarged, globular uterus
Adenomyosis Dx correct answers pathology report
Adenomyosis Management correct answers NSAIDs
Contraceptives
Hysterectomy is definitive tx
Normal bleeding pattern correct answers monthly cyclic bleeding (range: 21-35 days)
Duration 3-7 days
Amount 30-50 ml
Cycle correct answers 1st day of one period till 1st day of next period
Menorrhagia correct answers Heavy or prolonged bleeding may have large clots
--- >80 ml total, 24 pads a day
--- Bleeding = "Pouring out" or "gushing"
Menorrhagia Etiology correct answers - Uterine fibroids
- endometrial
- hyperplasia or cancer
- endometrial polyps
- dysfunctional uterine bleeding
Hypomenorrhea correct answers - regularly timed menses
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