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Week6-JRodgers.pptx - Endometriosis Jacqueline Rodgers...

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EndometriosisJacqueline RodgersChamberlain college of nursingNR602 Primary care of the childbearing and childbearing family
PurposePathophysiologyEpidemiology & Risk FactorsClinical AssessmentDifferential DiagnosesDiagnostic StudiesTreatment OptionsEducation
What is Endometriosis?
PathophysiologyUnknown PathophysiologyLeading Theories Suggest:Retrograde Menstruation  Most acceptedAltered immunityMetastatic spreadHeritable componentNo specific gene identified(Hickey, Ballard & Farquhar, 2014)
Sites of InvolvementOvariesAnterior & posterior cul-de-sacPosterior broad ligamentsUterosacral ligamentsUterusFallopian tubesSigmoid colonAppendixRound ligaments(Schenken, Barbieri & Eckler, 2018)
EpidemiologyPrevalence hard to determineInclusion criteria variesPopulation based Prevalence  1- 2%Surgical based Prevalence  57%Referral based PrevalenceWomen & Adolescents with Pelvic pain  70%3rdleading cause of Gynecologic Hospitalization50% report spending entire days in bedOn average 17.8 days/year(Schenken, Barbieri & Eckler, 2018)
Risk FactorsEarly menarcheLate menopauseDelayed childbearingMenorrhagiaHistory of pelvic surgeryFamily History(Ashrafi, Sadatmahalleh, Akhoond & Talebi, 2016)
Clinical Assessment: SubjectivePresentation & Severity May VaryCommonDysmenorrhoeaDyspareuniaPelvic Pain

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Term
Fall
Professor
N/A
Tags
Nursing, endometriosis, Barbieri, Schenken

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