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31 Cards in this Set
- Front
- Back
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where are 95% of leiomyomas located?
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uterine
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where are 5% of leiomyomas located?
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cervical
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common benigh tumors in femals of reproductive age?
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uterine leiomyomas
aka: myoma fibroid fibromyoma benign myomata uteri |
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what are the 3 layers in which leiomyomas can be located?
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1. submucosal
2. intramural/interstitial 3. subserosal |
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which leiomyoma is the most suspicious?
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intramural leiomyomas: usually will be biopsied to verify fibroid vs. a lesion of the uterus
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most leiomomas are asymptomatic? TRUE/FALSE
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true
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when are leiomyomas palpable?
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once they have grown and been present for some time
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what is the MC reason women will present with suspicion of a leiomyoma?
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abnormal uterine bleeding:
menorrhagia, metrorrhagia |
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when will leiomyomas become painfuL?
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if it becomes too large and has grown to the point of suppressing other organs, if
vascular comprmise, torsion, infection |
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what is the worst diagnostic modality for seeing a fibroid?
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xray.
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what is the best modality to use to see a uterine fibroid?
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MRI.
although US is mc used |
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the peptide hormone responsible for the release of FSH and LH from the anterior pituitary; that is synthesized and released by the hypothalamus
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GnRH= releasing hormone
aka: LH |
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removal of fibroid only
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myomectomy
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removal of uterus
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hysterctomy
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give an example of a GnRH agonist mentioned in class
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Lupron=
Leuprorelin (INN) or leuprolide acetate (USAN |
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a medical condition characterized by the presence of ectopic endometrial tissue (the inner lining of the uterus) within the myometrium (the thick, muscular layer of the uterus).
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adenomyosis
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uterine tenderness on palpation is known as?
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a + halban's sign
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local invasion of endometirla tissue in the myometrium more that 3 mm beneath the endometrium, muscular hypertrophy
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adenomyosis
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what is the difference between endometriosis and adenomyosis?
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endometriosis can occur anywhere while adenomyosis is localized to the uterus
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what is the definitive treatment for adenomyosis?
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hysterectomy
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why are oral contraceptives contra-indicated for tx of adenomyosis?
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esp estrogen based BC can exacerbate symptoms
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what is the best imaging modality to dx polyps?
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transvaginal US
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what is the added benefit of performing a hysteroscopy on an endometrial polyp?
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it allows you to obtain a sample of the lesion while you are monitoring it
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MC site of endometriosis?
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ovary
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aberrant growth of endometrial tissue outside the uterus?
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endometriosis
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what disease causes 50% of infertility in the world?
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endometriosis
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a retrograde menstruation subsequent bleeding from the fallopian tubes into the abdomen. Desquamated endometrium implants on the pelvic viscera is the classic theory of??
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John Sampson
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what is the key symptom in differentiating endometriosis from dysmenorrhea?
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dysparenunia
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if your patient dx with endometriosis comes in complaining of frank hematuria where can you suspect a lesion to be?
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the bladder
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what is the pharmacolgic pain tx of choice for endometriosis?
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danazol (danocrine) 200-800mg BID x 6 months for pain
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how can you treat endometriosis hormonally?
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by interrupting the menstral cycles using Depo Provera 150mg/month x 6 months
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