miomatosis uterina Flashcards

1
Q

Cual es la definicion de leiomioma?

A

Neoplasia de la pared muscular del utero

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2
Q

Caracteristicas del leiomioma?

A

Maligniza 1%
tamaño variable
dependientes de estrogeno y progesterona
tienen regresion en la menopausia

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3
Q

incidencia de la miomatosis uterina?

A

45% de las mujeres en la 5ta decada de la vida
50% son asintomaticos
21% hemorragia uterina anormal
33% presenta dolor pelvico

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4
Q

Cual es la etiologia de la miomatosis uterina?

A

Desconocida
Aunque contienen receptores de estrogeno, no hay evidencia de que sean un factor causal
Podria existir predisposicion genetica

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5
Q

Cuales son los factores de riesgo para que te de miomatosis uterina?

A
Nulipariedad
Edad
Etnia (ser americanos-africanos)
IMC aumentado 
Historia familiar
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6
Q

Cuales son las medidas del utero?

A

largo: 7.5 cm
ancho: 5 cm
grosor: 2.5 cm

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7
Q

Cual es el dobles fisiologico del utero?

A

anteroversoflexion

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8
Q

Cual es la irrigacion del utero?

A

arteria uterina, ileaca interna

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9
Q

cuale son las capas del utero?

A

perimetrio, miometrio, endomentrio

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10
Q

Cuales son las manifestaciones clinicas de la miomatosis uterina?

A

sangrado uterino anormal, dolor pelvico, disfuncion reproductiva

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11
Q

Cuales son los tipos de sangrado anormal uterino?

A

metrorragia
menorragia
polimenorrea
hipermenorrea

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12
Q

Que causa el sangrado uterino anormal?

A

anemia y def. de hierro++

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13
Q

Cual es el tipo de diagnostico de la miomatosis uterina?

A

clinica

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14
Q

Cuales son los tipos de diagnostico clinico que existen?

A

laboratorio: Bh (biometria hematica)
imagen: USG pelvico, inyeccion de solucion salina, TAC

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15
Q

En que parte del uetero pocurre el leiomioma?

A
submucosos (endometrio)
intramurales
subserosos (perimetrio)
cervical 
cornual
intraligamento corporal
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