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15 Cards in this Set
- Front
- Back
MC site endometriosis:
|
ovaries
pelvic peritoneum |
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Halban
Meyer Sampson |
lymphatic endometriosis
multipotential metaplastic transformation retrograde menstration |
|
Endometriosis incidence.
Requred to confirm ? |
10-15%
surgery |
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Endometriosis risk factors.
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first-degree realtives RR X7
|
|
cyclic pelvic pain 1-2 days premenses
|
endometriosis
|
|
adnexal mass
chocolate cysts fixed or retroverted uterus uterosacral nodularity |
endometriosis
|
|
DDX endometriosis
|
adenomyosis
adhesions chronic PID fibroids hemorrhagic corpus luteum ovarian neoplasms recurrent acute salpingitis |
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endometriosis tx
|
NSAIDS
OCPs Provera (medroxyprogesterone) (creation of "pseudopregnancy") |
|
pseudomenopause tx for endometriosis
(causes low estrogen levels) |
danazol (Danocrine) - acts on AP. An anti-E.
Lupron - GnRH agonist. Nafarelin (Synarel) - synthetic GnRH |
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Definitive endometriosis tx.
|
TAHBSO
|
|
Cx of adenomyosis ?
|
unk
postulated: basalis hyperplasia due to excessive estrogen |
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adenomyosis vs. fibroids
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adenomyosis is not encapsulated
|
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Adenomyosis incidence ?
|
15%
|
|
diffusely enlarged globular uterus
|
adenomyosis
|
|
Most accurate to dx adenomyosis ?
|
MRI
|