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Reproductive and Sexual Health > Endometrial Conditions > Flashcards

Endometrial Conditions Flashcards

1
Q

What is adenomyosis?

A

Endometrial tissue in the myometrium

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2
Q

Management of adenomyosis

A

GnRH agonists

Hysterectomy

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3
Q

What are polyps? What is the pre-cancerous progression?

A

Benign growths

Pre-cancerous = endometrial hyperplasia

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4
Q

Presentation of polyps

A

Asymptomatic

Abnormal bleeding

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5
Q

Causes of endometritis

A

Infection (neisseria, chlamydia)
Postpartum
IUD

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6
Q

What endometritis is associated with PID?

A

Chronic plasmacytic endometritis

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7
Q

Management of PID

A

IM Ceftriaxone
100mg Doxycycline BD
400mg Metronidazole BD

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8
Q

Management of Postpartum Endometritis

A

Clindamycin

Gentamicin

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9
Q

What are fibroids?

A

Benign tumour of uterine smooth muscle

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10
Q

Presentation of Fibroids

A

Asymptomatic
Menorrhagia
Infertility
Mass Effect

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11
Q

Investigation of Fibroids

A

USS

Bloods

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12
Q

Management of Fibroids

A

IUS
Menorrhagia management
Surgical options

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13
Q

What is endometriosis? Common sites?

A

Endometrial tissue in the wrong place

SITE = ovaries, Pouch of Douglas, peritoneum

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14
Q

Presentation of Endometriosis

A

Severe dysmenorrhoea
Pre-menstrual pain
Dyspareunia
Subfertility

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15
Q

Investigation of Endometriosis

A

USS

Gold Standard = laparoscopy

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16
Q

Management of Endometriosis

A

C-OCP
Pain relief (NSAIDs/paracetamol)
Surgery to improve/preserve fertility

17
Q

Associations with Endometrial Carcinoma

A

Lynch Syndrome

18
Q

Presentation of Endometrial Carcinoma

A

Abnormal bleeding

Late - abdominal mass

19
Q

Management of Endometrial Carcinoma

A

Hysterectomy

Chemo/radiotherapy

20
Q

Types of Endometrial Carcinoma

A

Serous

Endometriod

21
Q

What is the pathophysiology of endometroid endometrial carcinoma?

A

Unopposed oestrogen resulting in atypical hyperplasia

22
Q

What is the pathophysiology of serous endometrial carcinoma?

A

Atrophic endometrium

Usually elderly, post-menopausal women

23
Q

What is the genetics of Lynch Syndrome?

A

Autosomal dominant

Inheritance of defective DNA mismatch repair gene

Reproductive and Sexual Health (4 decks)

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