Endometriosis Flashcards
1
Q
What are the common examination findings?
A
Key is in the history
- dysmenorrhea, dyspaeurnia, cyclical pain, defocation pain, cant conceive, menorrhagia
Exam may be normal (presence of blood)
2
Q
What are the investigations?
A
Report back with SSPMT
To finish the exam i would like to an abdomial exam and also do the smears and swabs if not already done
By the bed - History, obs
Bloods - FBC, CA125, tfts
Other - US, laparoscopic investigation - DIAGNOSED VIA LAPAROSCOPY
If >40 outpatient endometrial biopsy
3
Q
What are the key investigation findings?
A
May be anaemia
LAPAROSCOPY SHOWS ENDOMETRIOSIS
4
Q
What is the treatment?
A
Conservative - Exaplain what it is
Medical - Coil, Mifenamic acidmtranxemic acid, COCP, GNRH analogues
Surgical - eblation, hysterectomy
5
Q
What are the risk factors?
A
FH
high oestrogen states
