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20 Cards in this Set
- Front
- Back
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only tissue biopsy is definative of ___
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endometriosis
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appro. __to__% of the general population of women and, __ to __% of infertile women have endometriosis
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1-2
30-50 |
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endometriosis occurs primarily in what decades of life?
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2nd and 3rd
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where is endometriosis typically found?
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60% bilat ovaries but also, fallopian tubes, pouch of douglas, round ligaments, and sigmoid colon
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what are the 'classic' signs of endometriosis?
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-dysmenorrhea
-deep thrust dysparenunia -infertility -abn. bleeding -pelvic pain |
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__is most frequent in women with endometriosis
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infertility
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in pt's with endometriosis, premenstrual spotting is a symptom, possibly the result of an assoc. ___phase inadequacy.
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luteal
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the classic description of uterosacral___on rectovaginal exam is consistent with significant gross endometrial dx
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nodularity
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the uterus is often relatively __ and __ in the pelvis.
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fixed and retroflexed
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ovarian endometriomas may be __, palpable, and __ __.
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tender
freely mobile |
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in pt's that present with dyspareunia.... what other than endometriosis should be in your differential diagnosis.
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-chr. PID
-ovarian cysts -symptomatic uterine retroversion |
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the pt who presents with chr. abd. pain..what is your diff. dx?
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chr. PID
pelvic adhesions GI dysfcn |
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if a pt. presents with abn. bleeding complaints...what should you include in your diff. dx?
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anovulation
hypothyroidism hyperprolactinemia |
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how is the definitive diagnosis of endometriosis made?
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direct visualization with laparoscopy or laparotomy with biopsy
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the medical therapy of endometriosis depends upon the response to __ and __ hormones ability to induce atrophy of the endometrial tissue
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endogenous and exogenous
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pt.s with endometriosis can have beneficial effects using combined __ & __ oral contraceptive agents
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estrogen and progestin
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__ suppress gonadotropin release
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progestins
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Danazol suppresses both __ and __ midcycle surges so the ovary no longer produces estrogen, which stimulates endometriosis
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LH
FSH |
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methods of conservative surgery in the treatment of endometriosis include?
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excision, cauterization, or ablation of visible endometriotic lesions and preservation of the uterus and other reproductive organs
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extensive surgery in the treatment of endometriosis includes?
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TAH
b/l salpindo-oophorectomy lysis of adhesions removal of endometial implants |
