mayoma
TRANSCRIPT
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MYOMA AHMAD AL-DHLAWIY
11110006
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Contents…SOEPEL
Anatomy of uterus
Definition
Myoma
Location Risk factors
Causes
Symptoms
Diagnosis
Treatment
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SOEPLE…Subject:
A middle age female patient came to the hospital with severe pelvic pain and abnormal vaginal bleeding.
History:
A 53 year old age have 11 childeren two of them dilevered cessarion. Hyperglycemic and have a history of asthama. and Have history of removed gall bladder before 5 years.
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Con’t…Pain analysis:
1. Site: in the pelvic.
2. Onset: suddenly.
3. Character: sharp.
4. Radiation: to back.
5. Associated factors: during walking.
6. Time/duration: start before 3 Months.
7. Exaggerated and relieving factors: ---
8. Severity: severe.
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SOEPLE… Object: Abdominal Examination. ( HR: 106, BP: 130/90 )
Evaluation “DD”: Metastatic disease, Endometriosis.
Plan: Ultasound, MRI and histopathology.
Elaboration: Hysterectomy.
Learning goal: leiomyoma ( Uterine fabroid ).
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Anatomy…
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Myoma It is a benign neoplasm of the muscular wall of the uterus composed primarily of smooth muscle.
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Sign and symptoms… Prolonged Heavy menstrual bleeding.
Pelvic pressure or pain.
Enlargement of lower abdomen.
Frequent urination.
Difficulty emptying bladder.
Constipation.
Backache or leg pains.
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Risk factors… Age. especially during the 30s and 40s. After menopause the fibroids usually shrink.
Family history. If a woman's mother had fibroids, her risk of having them is about three times higher than average.
Ethnic origin. African-American women are more likely to develop fibroids than white women.
Obesity. the risk is two to three times greater than average.
Eating habits. Eating a lot of red meat (e.g., beef). Eating plenty of green vegetables seems to protect women from developing fibroids.
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Causes… Hormonal Genetic
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Diagnosis… Ultrasound
Magnetic resonance imaging (MRI)
X-ray
Cat scan (CT)
Laparoscopy
Hysteroscopy
Histopathology
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Treatment…Medication:
Mild pain ibuprofen or acetaminophen heavey bleeding during period iron supplement
(GnRHa) shrink fibrosis.
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Treatment Con’t…Surgery: Myolysis
Myomectomy
Hystrectomy
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References… Books:
Williams Obstetrics.
kumar and clarck.
Websites: http://www.womenshealth.gov
http://www.sils.com