Class 9: PID & Endometriosis Flashcards

1
Q

what is endometriosis?

A

endometrial tissue located in abnormal locations outside the uterine cavity

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2
Q

endometriosis etiology

A

retrograde menstruation, vascular or lymphatic spread, or surgical complications

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3
Q

what age is it more common to have endometriosis?

A

reproductive years

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4
Q

darker skinned women more commonly have endometriosis. T/F?

A

false - light skinned women are more likely to have endometriosis

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5
Q

women who are ___ in their 30s are more likely to have endometriosis

A

nulliparous

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6
Q

endometriosis is not hereditary. T/F?

A

false

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7
Q

how can endometriosis cause infertility?

A

endometriosis can cause adhesions to form between FT & ovaries, leading to infertility

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8
Q

the following are S&S of what condition?
maybe asymptomatic, severe pelvic pain, dysmenorrhea, dyspareunia, involuntary infertility, pelvic heaviness, dysuria

A

endometriosis

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9
Q

2 types of endometriosis?

A

diffuse or focal

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10
Q

most common location of endometriosis

A

ovaries

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11
Q

US appearance of endometrioma

A

chocolate cyst; echogenicity depends on age of blood; CD = pericystic flow

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12
Q

it is easy to detect endometriosis on US. T/F?

A

false

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13
Q

7 treatment options for endometriosis

A
  1. natural menopause
  2. danazol
  3. oral contraceptives
  4. surgery
  5. hysterectomy & oophorectomy
  6. drug therapy with laser therapy
  7. pregnancy
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14
Q

how does danazol help relieve endometriosis S&S?

A

similar to testosterone, it prevents ovulation by suppressing FSH & LH, which decreases amount of hormones made by ovaries

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15
Q

what is pelvic inflammatory disease?

A

infection of the upper genital tract

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16
Q

what is the main cause of PID?

A

bacterial infection due to STD

17
Q

3 risks for PID?

A
  1. ectopic pregnancy
  2. tubo-ovarian abscess
  3. infertility
18
Q

what population is most at risk for PID?

A

sexually active young women

19
Q

the following are S&S of which complication?
lower abdominal pain
pelvic pain
pelvic tenderness
dull pain that increases with movement/sex
vaginal discharge
abnormal vaginal bleeding
fever
high WBC count

20
Q

what is Fitz Hugh Curtis Syndrome?

A

severe PID that progresses to peritonitis or abscess

21
Q

the following are S&S of what condition?
RUQ pain & tenderness
right sided pleuritic pain

A

fitz hugh curtis syndrome

22
Q

how does PID infection spread?

A

upward & outward

23
Q

stage 1 of PID?

A

early PID or endometritis

24
Q

stage 2 of PID?

A

salpingitis

25
stage 3 of PID?
severe PID/TOA
26
what is pyosalpinx?
FT filled with pus
27
TRV appearance of pyosalpinx?
string of beads; cogwheel
28
SAG appearance of pyosalpinx?
waist-sign; sausage
29
what is hydrosalpinx?
pyosalpinx resolves & FT fills with serous fluid
30
hydrosalpinx has the same US appearance as ___ but ___ replaces pus
pyosalpinx; fluid
31
what is a tubo-ovarian abscess?
when pus leaks from the end of the fallopian tube, leading to inflammation
32
what is loculated ascites?
ascites that's not anechoic
33
which conditions can you see loculated ascites?
1. TOA 2. PID 3. malignancy 4. mucinous cystadenocarcinoma