fuera del utero Flashcards

1
Q

ENDOMETRIOSIS
DEF.

A

patología benigna dependiente de estrógenos crónica, asociada a dolor pélvico crónico e infertilidad

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2
Q

endometriosis
-sitio de implantación 1 y 2

A

1 peritoneo pélvico, ovarios

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3
Q

3 subtipos

A

superficial (peritoneo), ovárica, profunda y extra pélvica

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4
Q

prevalencia en poblacion general

A

10%

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5
Q

3 etiología

A

menstruación retrograda, metaplasia mulleriana, células madre

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6
Q

triada clásica y %

A

dolor, infertilidad, ansiedad y depresión

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7
Q

datos clásicos

A

dolor pelvico, utero fijo, ovarios grandes

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8
Q

dx

A

US pélvico

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9
Q

tx INICIAL
tx elección:

A

tx INICIAL: AINE
tx elección: etinilestradiol 15 mg + etonogestrel 120 mg por día

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10
Q

-TX qx y su indicación:
-cistectomía:
-infertilidad:

A

-TX qx y su indicación: falla tx médico por 6 meses
-cistectomía: endometrioma >3cm
-infertilidad: restablecer anatomía

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