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18 Cards in this Set
- Front
- Back
Definition of endometriosis?
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Endometriotic tissue found outside uterine cavity.
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Is there a genetic link?
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7 fold increase in first-degree relatives.
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What is the main theory for endometriosis?
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Retrograde menstruation.
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Most frequently affected sites?
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Pouch of Douglas.
Pelvic side walls. Adnexa. Large bowel. Bladder. |
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What is a chocolate cyst?
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It is an ovarian cyst - endometrioma.
Fluid looks chocolatey from repeated menstrual bleeds. |
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What are the complications of a chocolate cyst?
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It can cause adhesions.
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What are the symptoms female genital tract?
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Dysmenorrhoea
Dyspareunia Chronic pelvic pain Infertility |
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What are the symptoms in the urinary tract/GIT tract?
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Cyclical pain and bleeding
And obstruction |
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What are the symptoms in the lung?
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Haemopneumothorax
Cyclical haemoptysis |
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What is the gold standard for diagnosis?
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Laporoscopy
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What other investigations indicated?
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CA-125 - will be raised in ovarian, raised a little in endometriosis
Pelvic US |
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First-line management?
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NSAIDs and OCP
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Second-line management?
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Prostagens - suppress growth of endometrial tissues
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Third-line management?
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Danazol - will suppress ovarian hormone secretion
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Fourth-line management?
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GnRH agonists, e.g. goserelin
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What do GnRH give you which limit your length of use?
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Menopausal symptoms
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What are the surgical options?
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Laporoscopy
Diathermy Ablation Open surgery |
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Complications of the condition?
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Adenomyosis
Infertility Chronic pain |