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13 Cards in this Set
- Front
- Back
who was credited with endometriosis - retrograde menstruation
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John Sampsom - 1927
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How do ectopic endometrial cells and tissue differentiate from normal endometrium?
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look it up
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what its the probability of those with first degree relative?
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3-10x more likely
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what is the benefit of rectal-vaginal examination?
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to rule out utero-sacral nodularity
to assess rectal involvement |
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what is the role for CA125 in endometriosis?
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not very helpful
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what are ancillary tests for endo
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colonoscopy
cystoscopy rectal US Diagnostic laparoscopy not req'd for treatment |
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what is mirena approved for by health canada?
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contraception
menorrhagia |
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what are some medical therapies for endometriosis?
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Danazol
GNRH agonists - with add back therapy Aromatase inhibitors -no prevention of endometriomas |
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when should you provide surgical intervention?
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not responsive to medical therapy
contra-indicated for medical management suspected of having deep invasion - - |
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If you see endometriosis for other surgery - should you treat?
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NOt necessary
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what are LUNA
Pre-sacral neurectomy appendectomy uterine suspension |
look up
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what are the success rates for IVF of those with endometriosis
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50% lower success in IVF outcomes for those with endometriosis vs. tubal factors only
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what is the NNT for laparascopy for 1 additional pregnancy in endometriosis
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8 laparoscopies
ENDOCAN study 36.6 vs. 21.9% NNT - 8 |