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