Term
|
Definition
| benign tumors that arise from the myometrial smooth muscle cells |
|
|
Term
| Fibroids are growth dependent on what? |
|
Definition
Estradiol
Progesterone
Other Growth factors |
|
|
Term
| True or False: Estrogen causes fibroids |
|
Definition
|
|
Term
| True or False: Fibroids grow more quickly when exposed to high estrogen levels |
|
Definition
|
|
Term
| True or False: Fibroid growth decreases with menopause |
|
Definition
|
|
Term
| True or False: Fibroids are the most common type of benign uterine tumor |
|
Definition
|
|
Term
| Fibroids are most likely to be found in women who are of what age? |
|
Definition
|
|
Term
| What factors predispose a women to fibroids? |
|
Definition
Age
Race (AA > Caucasian)
Nullips
High BMI
HTN
Familial tendency |
|
|
Term
| What are the clinical manifestations of fibroids? |
|
Definition
AUB
Pelvic pressure
Pelvic pain
Reproductive dysfunction |
|
|
Term
| Treatment is indicated for fibroids if |
|
Definition
| the patient is symptomatic |
|
|
Term
| Medical therapy for fibroids |
|
Definition
NSAIDs
OCPs and progestational agents
Lupron
Mirena |
|
|
Term
| What is the most effective medical tx for fibroids? |
|
Definition
| Lupron (reduces the size of the fibroid) |
|
|
Term
|
Definition
| 3.75 mg q month OR 11.25 mg q 3 months |
|
|
Term
| Invasive tx options for fibroids |
|
Definition
Ablation
Myomectomy
Hysterectomy |
|
|
Term
| Emergency referral needed for |
|
Definition
|
|
Term
| Warning s/s that require immediate attention to educate patient on |
|
Definition
excessive bleeding
severe pain |
|
|
Term
| Most frequent sx that indicates fibroid? |
|
Definition
| increased uterine bleeding at menses |
|
|
Term
| Definitive dx of fibroid made by |
|
Definition
|
|
Term
| Perform the following PE components if fibroids is in differential |
|
Definition
| abdominal and pelvic exam |
|
|
Term
| definitive treatment for fibroids |
|
Definition
|
|
