Flashcards in 9 - Gynae - Endometriosis + Chronic Pelvic Pain - Endometriosis Deck (9):
what age range esp?
What is it?
Most common in who?
presence and growth of endometrium like tissue outside the uterus
Pathology - dependent on?
-regresses when? (2 times)
-can occur throughout pelvis but esp where? (2 places)
-accumulated altered blood - colour? can form what? where?
-endometriosis causes ? with progressive fibrosis and ?
-in most severe cases pelvis is ? (organs ?) by adhesions
preg and post meno
on/behind ovaries, uterosacral ligs
chocolate cyst / endometrioma
frozen - immobile
Aetiology - probably due to ?menstruation (in pelvis)
-this is common and not always ass w endometriosis
-distant foci may be from what 3 types of spread?
-some ? link
mechanic, blood, lymph
Hx points - often ?
-important cause of ? ? pain
-PCs include...? before onset of period, ? dyspareunia, ?, pain on ? ? during menses, occasionally ? problems
-what causes acute pain and could be first Sx?
-what three Sx are uncommon but suggest severe disease?
chronic pelvic pain
rupture of a endometrioma
rectal bleeding, cyclical haematuria, umbilical bleeding
DDx of endometriosis - 5 things
other causes of pelvic masses
Ex points - if mild, the pelvis may feel ?
-2 common findings on VE?
-advanced cases - uterus is ? and ? from adhesions, and a ? nodule of endometriosis may be found on ??/visible on ? Ex
tenderness, thickening behind uterus/adnexa
immobile and retroverted
Ix - sometimes ? is raised
- name 3 Ixs and what can be added to them?
-Laparoscopy +/- biopsy
-MRI +/- IV pyelogram and barium studies
Ix - Laparoscopy
-diagnosis only made after ? +/- ?
-active lesions are ? resicles or ? marks on peritoneum
-what shows less active disease?
-what shows severe disease?
visualisation +/- biopsy
white scars/brown spots
extensive adhesions and ovarian endometriomas