Female CA/ Endometri
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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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