Endometriosi - Study guides, Class notes & Summaries

A patient is referred to you from her family doctor and asks how the diagnosis of endometriosis is best confirmed. A. Ultrasound B. CA-125 level C. Family history D. Typical history-physical examination E. Tissue Biopsy - Answer-E. Tissue biopsy A 24 yo woman is undergoing laparoscopy for otherwise unexplained infertility. What are the chances that endometriosis will be found in this woman? - Answer-20-40% A 24 year old woman is undergoing laparoscopy for otherwise unexplained inferti...

endometriosis - Answer-o Presence of endometrial tissue (glands and stroma) outside of the endometrial cavity (ovaries, other organs, intestines, pelvic organs) o Chronic disease, life-long management- will require medical intervention (mgt, surgical or all of the above) • This can cause a lot of distressing symptoms to the woman general presentation of endometriosis? - Answer-• Pelvic pain • Infertility • Pelvic mass Goals of managing these ladies: - Answer-• Maximize the m...

ENDOMETRIOSIS definition - Answer-Presence of normal endometrial tissue in an abnormal location (outside the uterus) that Responds to hormonal stimulation with proliferation & secretion sx of endometriosis - Answer--Withdrawal of hormones causes bleeding -Bleeding causes pain +/- scar tissue -Dysmenorrhea, Dyspareunia, pelvic pain (not related to severity and unresponsive to NSAIDs/OCP) -Implants contain prostaglandin receptors -Dyschezia -Dysuria -Infertility -Menorrhagia -Backache ...

A 23-year-old G0 woman presents complaining of increasing pelvic pain with her menses over the last year since she stopped her OCPs. In particular, she has noticed more pain on her left side in the last couple of months. She denies any changes in her bladder or bowel habits but reports that she has begun to have pain with deep penetration during intercourse. She started OCPs when she was 17 for painful irregular cycles but stopped them a year ago when her insurance changed. She has had only one ...

A 29-year-old female presents to the office with *pelvic pain* that was *initially most prominent during the premenstrual phase of her cycle*. The pain has become progressively worse and now involves most of the month. The pain has not been relieved with the use of OTC NSAID's, Rx NSAID's or oral contraceptives. What is being described? - Answer-endometriosis A 44-year-old female presents to the office with *progressive menorrhagia (excessive bleeding)*. U/S reveals no evidence of uterine f...

Causes of endometriosis? - Answer-- Retrograde flow of menstrual endometrium - Endometrium from the uterus can spread to distant sites via blood vessels & lymphatics - Mesonephric remnants may undergo endometrial differentiation & give rise to ectopic endometrial tissue - Stem/progenitor cells from the bone marrow can differentiate into endometrial tissue What is an endometrioma? - Answer-a lump of endometrial tissue outside the uterus What are chocolate cysts? - Answer-Endometriomas i...

Endometriosis often mimics ___. PID often mimics ___. - Answer--functional bowel disease -ectopic pregnancy or appendicitis. Why must careful attention be paid to patient history and clinical findings? - Answer-Because both PID and Endometriosis exhibit similar sonographic findings Disease processes of the female pelvis that cause diffuse morphologic and vascular changes: - Answer-PID and Endometriosis -Both display a varied pattern of tissue involvement and clinical findings Inflam...

What is endometriosis? - Answer-Disorder where endometrial tissue grows outside the uterus. What are the common assessment findings of endometriosis? - Answer-Pain (lower abdomen, lower back, pelvis, rectum, vagina, during sex, while defecating), menstrual irregularities (irregular, painful, heavy, spotting) , GI symptoms (constipation/nausea), abdominal symptoms (abdominal fullness/cramping), infertility. How is endometriosis diagnosed? - Answer-Pelvic exam, ultrasound or MRI, laparoscopy...

endometriosis - Answer-gynecologic disorders - painful chronic disease characterized by the growth of endometrial lesions outside of the endometrial cavity of the uterus 1. ovaries 2. fallopian tubes 3. myometrium (uterus) 4. peritoneum 5. bladder 6. bowel - Answer-six major involved organs in endometriosis endometriosis - Answer-gynecologic disorders - more health distress, pain during or after intercourse, and interference w/ activities than women with other reasons for chronic pe...

What id endometriosis? - Answer-Endometriosis is a chronic condition characterized by the growth of hormone-responsive endometrial tissue outside the uterine cavity Ectopic endometriotic implants - Answer-They are typically found on the peritoneal surface, within the ovary or invading the rectovaginal septum; however, many examples of more widely distributed lesions have been described. Prevalence of endometriosis? - Answer-11% prevalence among reproductive-age women What is this diseas...