PCOS, PIS, ENDOMETRIOSIS Flashcards

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1
Q

WHAT IS THE DEFINITION OF PCOS

A

A CONDITION TRIGGERED BY THE INAPPROPRIATE SECRETION OF GONADATROPHINS AND INSULIN

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2
Q

WHAT IS THE DIAGNOSTIC CRITERIA FOR PCOS

A

MENSTURAL IRREGULARITY
CLINICAL HYPERANDROGENISM
US EVIDENCE OF POLYCYSTIC OVARIES MORE THAN 12 IN EACH OVARY

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3
Q

WHAT IS HAPPENING AT A CELLULAR LEVEL WITH PCOS

A

TO MUCH LH AND NOT ENOUGH FSH LEADS TO INCREASED ANDROGENS AND THEN NOT ENOUGH FSH TO CONVERT THE EXCESS INTO ESTROGEN, LEADING TO HYPERANDROGENISM AND ASSOC SYMPTOMS

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4
Q

WHAT ARE THE CLINICAL FEATURES OF PCOS

A

MENSTURAL DISTURBANCE
INFERTILITY
HYPERANDROGENISM
ALOPECCIA
OBESITY
MOOD CHANGES/ DEP/ ANX
INSULIN RESISTANCE
DYSLIPADEMIA

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5
Q

WHAT IS THE DEFINITION OF ENDOMETRIOSIS

A

DEPOSITS OF CELLS SIMILAR TO UTERINE ENDOTHELIUM ARE FOUND IN OTHER PARTS OF THE BODY

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6
Q

WHAT PERCENTAGE OF REPRODUCTIVE AGE WOMEN HAVE ENDO

A

10%

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7
Q

WHAT IS VICARIOUS BLEEDING

A

CYCLICAL BLEEDING FROM A SURFACE OTHER THAN THE UTERINE MUCOSA

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8
Q

WHAT HAPPENS IF ENDO TISSUE IS IN THE PERITONEAL CAVITY

A

ADHESIONS CAUSING DECREASED MOTILITY OF ORGANS

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9
Q

WHAT IS THE MOST COMMON SITE OF ENDO

A

SURFACE OF UTERINE TUBES, BOWEL, BLADDER AND URETERS

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10
Q

WHAT IS THE PATHOPHYSIOLOGY FOR ENDO

A

RETROGRADE MENSTURATION

INSTEAD OF ENDO TISSUE BEING KILLED OFF, THEY THINK THE ENDO TISSUE WILL FO THE OPPOSITE WAY AND ASCEND OUTSIDE OF THE UTERUS

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11
Q

WHY CAN THE PILL BE BENEFICIAL FOR THOSE WITH ENDO AND PCOS

A

BECAUSE THE PILL CREATES A BODILY STATE THAT MIMICS PREGNANCY, MEANING THAT THERE IS NO CYCLICAL MENSTRUATION AND LESS ENDOMETRIAL SYMPTOMS THAT WOULD TYPICALLY BE EXACERBATED BY MENSTRUATION

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12
Q

WHAT IS THE DEFINITION OF PID

A

PID IS NOT ONE SPECIFIC DISEASE BUT THE OUTCOME OF ANY INFECTION IN THE GENITOURINARY TRACT WHICH HAS NOT BEEN ADEQUATELY TREATED

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13
Q

PID CAN INCLUDE ANY COMBONATION OF

A

ENDOMETRIOSIS, SALPINGITIS, OOPHERITIS, PERITONITIS

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14
Q

WHAT ARE THE RISK FACTORS FOR PID

A

SEXUALLY ACTICE WOMEN WHO HAVE HAD MORE THAN ONE PARTNER
WOMEN WHO HAVE HAD INADEQUATELY OR UNTREATED CHALMYDIA OR GONORRHOEA
SURGERIES

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15
Q

WHAT ARE THE CLINICAL FEATURES OF PID

A

LOWER ABDO PAIN
IRREGULAR BLEEDING
MUCOPURULENT DISCHARGE

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16
Q

WHAT ARE THE SERIOUS COMPLICATIONS OF PID

A

INFERTILITY
PELVIC ADHESIONS
ABSCESS FORMATION
ECTOPIC PREGNANCY
CHRONIC PAIN

17
Q

IS PID A DIAGNOSIS FO EXCLUSION

A

YES

18
Q

WHAT IS NECESSARY TO EXCLUDE WHEN DIAGNOSING PID

A

ENDO, ECTOPIC PREGNANCY, RUPTURE OF OVARIAN CYST, APPENDICITIS OR BOWEL DISORDERS, GALL OR RENAL STONES

19
Q

WHAT IS THE MANAGEMENT FOR PID

A

APPROPRIATE ANTIBIOTICS
SURGERT FOR ADHESIONS OR ABSCESS