Endometriosis Flashcards
define endometriosis
chronic inflammatory condition
presence of endometrial outside endometrium
where does endometriosis commonly affect
pelvic peritoneum and ovaries
list 5 RFx for endometriosis
early menarche family history short menstrual cycles long duration of menstrual bleeding heavy mensturation defects in fallopian tubes/uterus
what age group does endometriosis commonly affect
25-40 yrs
what is retrograde mensuration
menstural blood containing endometrial tissues flowing back through the fallopian tubes and pelvic cavity
when does pelvic pain occur in endometriosis
occurs at the time of mensuration
pain maybe chronic
lis 5 symptoms of endometriosis
cyclic pelvic pain dyspareunia dysmenorrhoea (early stages) dysuria dyschezia sub-fertility
what symptoms would cause you to suspect endometriosis
cyclic pelvic pain dyspareunia heavy menstural bleeding rectal pain pelvic pain
what is dyschezia
difficult/painful defecating
what is the goldstandard investigation for endometriosis
laproscopy
what investigation method is used to determine severity
TVUS
what bedside investigation would be used to investigate endometriosis
bi manual examination
list 3 finding on laparoscopy suggestive of endometriosis
chocolate cysts
adhesions
peritoneal deposits
how do you manage an asymptomatic patient with endometriosis
no management required
what management method for pain in endometriosis
NSAIDs
e.g. ibuprofen or naproxen
