NR 602 Endometriosis with Answers
Endometriosis – Is when the tissue lining the inside of the uterus grows outside the uterus, it can cause chronic pain, internal bleeding, infertility, fatigue, and bowel or urinary problems. About five million women in the U.S. have the conditions, with quarter of those experiencing no symptoms.
Pathophysiology
Theories
- Sampson’s theory:
- Celomic metaplasia:
- Vascular and lymphatic spread:
- Altered immunosurveillance:
Epidemiology
Risk factors
Clinical physical assessment findings
Three differential diagnoses
- Differential Diagnosis #1: Pelvic Inflammatory Disease (PID)
- Differential.Diagnosis #2: Ovarian Cysts
- Differential Diagnosis #3: Endometriosis
Diagnostic studies to confirm diagnosis
Prevention (if not applicable, discuss why).
Treatment to include nonpharmacologic management and pharmacologic management
Hormonal treatments:
Surgical treatments
- Laparoscopy:
- Hysterectomy:
Best Practice-combined surgical and hormonal therapy
Non-hormonal treatments: prospects for future development (rodent study)
Ongoing support:
Patient and/or family education
Best practices for optimal outcomes


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