Uterine disorders Flashcards

1
Q

The presenceof endometrial glands outside the cavity.

A

endometriosis

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2
Q

endometriosis is a risk for what type of cancer

A

ovarian

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3
Q

what is the primary etiology of endometrosis

A

retrograde menstration

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4
Q

what is the primary risk factor for endometrosis

A

Increased estrogen

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5
Q

clinical presentation for endometrosis

A

premenstral pelvic pain

decrease in pain after menses

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6
Q

2 physical exam findings of ensometrosis

A
  1. tenderness at posterior cul de sac

2, retroverted uterus

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7
Q

what playes a role in endometrosis

A

Ca 125

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8
Q

what does chocklate cake cysts go with

A

endometriosis

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9
Q

what are the 4 treatments for endometriosis

A

NSAID
OCP
aromtase inibitor
hysterectomy

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10
Q

what is the medocal work for uterine fibroid

A

-uterine leiomyoma

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11
Q

Arise from smooth muscle cells within the uterine wall made from collagen and smooth muscle surrounded by psudocapsule

A

uterine fibroid

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12
Q

uterine fibroid is more common in what population

A

blacks

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13
Q

what is the indicated etiology of uterine fibroids

A

estrogen

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14
Q

what are the three classes of fibroids

A
  1. submucosal
  2. intramural
  3. subsurrosal
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15
Q

what is the clinical presentation of uterine fibroids

A

pain, pressure
infertility
abnormal bleeding

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16
Q

what are the uterine fibroids medications

A

(no standard)

  • OCP
  • GnrH
  • steroid therapies
17
Q

what medication do you give prior to surgery for a fibroid that decreases the size

A

GnRH analog depot lutren

18
Q

what type of fibroid can you NOT give OCP or transexanic acid to

A

submucosal

19
Q

If they do NOT have a submucosal fibroid, what type of surgery perserves fertility

A

myomectomy (no vaginal birth)

20
Q

If they DO have a submucosal fibroid, what type of surgery perserves fertility

A

HYSTERSCOPY

21
Q

what is the downside to endometrial ablation

A

no more kids

22
Q

Tell me about uterine artery abaltion

A

perserves uterus but not fertility

23
Q

growth of endometrial glands and stromal into the uterine myometrium

A

adenomyosis

24
Q

adenomyosis often has a history of what

A

utrine surgery

25
uterine elaregent think what
adenomyosis
26
Treatment for adenomysosis 4
- OCP - IUD - Nuva ring - Hysterectomy
27
excessive growth of endometrium associassciated with increased estrogen
endometrial hyperplasia
28
risk factor for endometrical hyperplasia
obesity
29
estrogen does what to the uterus
proliferation
30
If the endometerium is < 4mm of US malignancy is what
unlikely
31
what is the treatment for typical (non cancerous) endometrical hyperplasia
progestin (remember this is antiproliferitive)
32
what is the treatment for atypical (cancerous) endometrical hyperplasia
Hysterectomy
33
what is the difference in type I vs type II endometrical cancer
I: associated with estrogen II: no association with estrogen
34
what is the most common type of endometrical cancer
adenocarcinoma
35
what is the endometrical cancer with the worst prognosis
clear cell