Situation/
Pathogenesis
Pathogenesis
Name one common site of endometriosis.
ovaries, uterosacral ligaments, peritoneum
The pain experienced during menstruation is described as
throbbing contractions or sharp, stabbing pain
What does TVUS stand for?
Transvaginal ultrasound
What is the first line of therapy for dysmenorrhea?
NSAIDS
What is a symptom that is often missed that delays early recognition?
Endometriosis is a(n) ________-dependent condition.
painful menstruation
What does a diagnosis no longer require?
Laparoscopy
What is the specific recommended Physical Therapy?
Pelvic Floor Physical Therapy
What should a nurse recommend a patient prior to surgical management?
physical therapy or hormonal therapy
The growth of endometrial-like tissue outside the uterus causes _______.
Chronic inflammation
The most common form of neuropathy caused by endometriosis is
sciatica
Why is an early diagnosis important?
It improves outcomes
What is CBT?
Cognitive behavioral therapy
What is the closing statement that a nurse should be telling the patient?
When they should follow up and how to monitor treatment
What is the patients history of presenting illness (HPI)?
Chronic pelvic pain, dysmenorrhea, dyspareunia
The main GI issues experienced by someone with endometriosis are
bloating, gas, and cramps
What was found during her pelvic exam?
Tenderness along uterosacral ligaments
When the disease is severe and deep infiltrating, what is the recommendation?
Surgical management
What physicians are likely to be on the care team of someone with endometriosis?
Gynecologist, pain specialist, mental health
Endometriosis has progesterone resistance. What does this contribute to?
Persistent lesions
Where does sciatic pain radiate to?
down the leg, inner thigh, or back
What is an ovarian endometrioma?
Cysts that are filled with thick, dark, and old blood
Why does Hormonal Suppression Therapy work?
It suppresses ovulation which reduces estrogen
That the disease is chronic rather than acute