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Female CA/ Endometri

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Question
Answer
What is endometriosis?   when endometrial tissue grows outside of the uterus in other parts of the pelvis  
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What is the number one complication from endometriosis?   infertility  
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What are possible causes of endometriosis?   Retrograde menstrual flow, Altered immune function, Tissue displaced in utero, infections,  
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Is endometriosis painful?   yes before, during and after mensus  
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How is endometriosis diagnosed?   PE, vaginal ultrasound, exp lap, plasma urocortin levels (especially in ovaries), CA125 marker  
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Why do women not want to be on meds for endometriosis?   depo-wt gain, danazol-facial hair, Lupron-like going through menopause, loss of bone density and actually causes more pain initially die to the amt of estrogen  
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When does surgical menopause happen?   When ovaries are removed, pt may need HRT  
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What drug was associated with cervical CA?   diethystilbesterol (DES) given back in the day to prevent miscarriages  
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Describe the staging for cervical CA   stage I-cervix only, stage II-beyong cervix into vagina, stage III-in pelvis but not beyond pelvic wall, stage IV-not beyond pelvic wall  
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What are the only clinical signs of cervical CA?   foul smelling d/c, abnormal PAP  
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What are the late signs of cervical CA?   bleeding when you shouldn't be, wt loss and anemia  
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What are signs of metastasis in cervical CA?   pain, bladder irritation, rectum discharge, fistula, symptoms of urteral obstruction  
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Pt has cyrosurgery for cervical CA, is this normal?   Yes, once freezed the cells slough off, unless longer than 8 weeks then infection is suspected  
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If a post-menopausal women is bleeding what is suspected?   Cervical CA, unless proven otherwise  
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What is uterine CA related to?   Estrogen  
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What breast CA drug puts you at risk for uterine Ca?   Tamoxifen  
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