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Gynae > Endometriosis > Flashcards

Endometriosis Flashcards

1
Q

Definition

A

Presence of endometrial tissue outside the uterine cavity

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2
Q

Histology - 3 things

A

Glands, stroma and haemosiderin pigment

Need 2/3

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3
Q

Possible sites

A 
Ovaries
Cup selection sac
Broad ligament 
Uterosacral ligament (post and lateral to cervix on each side)
Fallopian tubes
Sigmoid colon
Appendix
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4
Q

Presentation

A

Dysmenorrhea
Dyspareunia
Chronic pelvic pain
Infertility

Sx dependant on site

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5
Q

Examination

A 
Tenderness on vaginal exam
Nodules in pouch of Douglas
Retroverted uterus
Laternal displacement of cervix 
Adnexal mass
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6
Q

Labs

A

Ovarian tumour associated antigen -CA 125

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7
Q

Imaging

A

U/S: ovarian cyst: endometrioma

Nodules

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8
Q

Mx

A

Medical:
Pain: NSAIDs - brufen

Hormonal: 
o- p combination 
Progestogens 
Antiprogestins 
GNRH agonist

Surgical:
Laparoscopy

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9
Q

Dx

A

Laparoscopy and histo

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Gynae (4 decks)

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