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21 Cards in this Set
- Front
- Back
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what is the definition of endometriosis?
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presence of endometrial tissue outside of cavum uteri
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what is the most common localisation of endometriosis?
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pelvic
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what are the three entities of endometriosis?
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peritoneal
ovarian deep-infiltrating |
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what are the two forms of endometriosis in the myometrium?
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adenomyosis
and adenomyoma |
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what are the most common localisations of endometriosis in descending frequency?
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ligamentum rectouterinum 2/3
ovary, superficial 1/2 ovary, deep = endometrioma 1/5 Douglas space/ retrocervical 1/5 |
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how common is deeply infiltrating endometriosis and where is it localised?
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septum rectovaginale
and intestine and urinary bladder |
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what is the age peak at diagnosis in endometriosis?
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before age 30
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what are risk factors for endometriosis?
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strong familial clustering with RR = 7 among first degree relatives
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what are pathogenetic hypotheses of endometriosis?
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retrograde menstruation
endometrial affection is explained by metaplasia of invaginated coelomic epithelium deeply infiltrating endometriosis is explained by metaplasia of Mullerian duct or infiltration from Douglas pouch extragenital manifestation by hematogenous metastases and pluripotent cells |
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how is the deep ovarian endometriosis also called?
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endometrioma = chocolate cyst
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what are cardinal symptoms of endometriosis
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dysmenorrhoea and dyspareunia
other symptoms are dysuria and dyschezia as well as chronic pain |
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what are typical additional examinations for diagnosis of endometriosis?
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vaginal sonography
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how is endometriosis ultimately diagnosed
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laparascopy with or without biopsy
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what are common complications of endometriosis?
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sterility
and relapse after therapy |
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what are the three therapeutic approaches to endometriosis?
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expectative
symptomatic endocrine medicamentous |
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what does symptomatic treatment of endometriosis include?
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NSAID
and ovulation inhibitors |
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what are the principal choices of endocrine medicamentous treatment of endometriosis?
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GnRH analogues
anti-gonadotropins gestagens |
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what is the principle behind endocrine medicamentous treatment of endometriosis?
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estrogen deprivation
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which forms of endometriosis respond poorly to endocrine therapy?
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deeply infiltrating endometriosis and endometrioma
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what are indications for surgical therapy of endometriosis?
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advanced stages of disease
complications for definitive treatment |
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what are typical indications for surgical treatment of endometriosis?
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endometrioma and peritoneal endometriosis in sterility
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