Adenomyosis - Revision history

Rossdonaldson1: /* See Also */

2021-01-12T17:27:51Z

Rossdonaldson1: /* Disposition */

2021-01-12T17:27:24Z

Disposition

← Older revision		Revision as of 17:27, 12 January 2021
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	*If hemodynamically stable without clinically significant bleeding, patient can be discharged with gynecology referral		*If hemodynamically stable without clinically significant bleeding, patient can be discharged with gynecology referral

			==See Also==
			*[[Vaginal bleeding]]

			==External Links==

	==References==		==References==
	<references/>		<references/>
	[[Category:OBGYN]]		[[Category:OBGYN]]

Rossdonaldson1: /* Evaluation */

2021-01-12T17:26:49Z

Evaluation

← Older revision		Revision as of 17:26, 12 January 2021
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	==Evaluation==		==Evaluation==
			[[File:Adenomyosis MRI.jpg\|thumb\|Sagittal MRI showing uterus with adenomyosis in the posterior wall: gross enlargement with many foci of hyperintensity.]]
	*Pelvic exam – bimanual usually reveals a mobile, enlarged, and soft or boggy uterus		*Pelvic exam – bimanual usually reveals a mobile, enlarged, and soft or boggy uterus
	*Transvaginal [[pelvic ultrasound\|US]]		*Transvaginal [[pelvic ultrasound\|US]]

Rossdonaldson1: /* Background */

2021-01-12T17:24:21Z

Background

← Older revision		Revision as of 17:24, 12 January 2021
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	==Background==		==Background==
			[[File:Adenomyosis.jpg\|thumb\|Adenomyosis uteri seen during laparoscopy: soft and enlarged uterus; the blue spots represent subserous endometriosis.]]
	*Uterine disorder characterized by endometrial glands and stroma being present within the myometrium resulting in hypertrophy of the surrounding myometrium		*Uterine disorder characterized by endometrial glands and stroma being present within the myometrium resulting in hypertrophy of the surrounding myometrium
	*Two histopathological forms:		*Two histopathological forms:

Rossdonaldson1: /* Background */

2021-01-12T17:22:35Z

Background

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 **Focal (also known as an adenomyoma) – can appear similar to a fibroid but does not have a pseudocapsule
 *Pathogenesis is not well understood
 ==Clinical Features==

Rossdonaldson1: /* Differential Diagnosis */

2021-01-12T17:21:39Z

Differential Diagnosis

← Older revision		Revision as of 17:21, 12 January 2021
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{VB DDX nonpregnant}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Etiologies */

2021-01-12T17:21:03Z

Etiologies

← Older revision		Revision as of 17:21, 12 January 2021
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	===Etiologies===		===Etiologies===
	====Reproductive Tract ~~Causes~~====		====Reproductive Tract====
	*Atrophic endometrium		*Atrophic endometrium
	*[[Dysfunctional uterine bleeding]]		*[[Dysfunctional uterine bleeding]]
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	*[[Vaginal Trauma]]		*[[Vaginal Trauma]]

	====Systemic ~~Causes~~====		====Systemic====
	*[[Cirrhosis]]		*[[Cirrhosis]]
	*[[Coagulopathy]] ([[Von Willebrand disease]], [[ITP]])		*[[Coagulopathy]] ([[Von Willebrand disease]], [[ITP]])

Rossdonaldson1: /* Background */

2021-01-12T17:20:45Z

Background

← Older revision		Revision as of 17:20, 12 January 2021
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	*Pathogenesis is not well understood		*Pathogenesis is not well understood

	===Reproductive Tract Causes===		===Etiologies===
			====Reproductive Tract Causes====
	*Atrophic endometrium		*Atrophic endometrium
	*[[Dysfunctional uterine bleeding]]		*[[Dysfunctional uterine bleeding]]
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	*[[Vaginal Trauma]]		*[[Vaginal Trauma]]

	===Systemic Causes===		====Systemic Causes====
	*[[Cirrhosis]]		*[[Cirrhosis]]
	*[[Coagulopathy]] ([[Von Willebrand disease]], [[ITP]])		*[[Coagulopathy]] ([[Von Willebrand disease]], [[ITP]])

Rossdonaldson1 at 17:20, 12 January 2021

2021-01-12T17:20:18Z

@@ Line 6: / Line 6: @@
 *Pathogenesis is not well understood
 ===Reproductive Tract Causes===
 *Atrophic endometrium
@@ Line 31: / Line 25: @@
 *[[Hypothyroidism]]
 *Secondary anovulation
 ==Evaluation==

ClaireLewis at 04:17, 28 December 2020

2020-12-28T04:17:45Z

← Older revision		Revision as of 04:17, 28 December 2020
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	==Clinical Features==		==Clinical Features==
	*Heavy ~~menstrual~~ bleeding		*Heavy [[vaginal bleeding]]
	*Dysmenorrhea		*Dysmenorrhea
	*Chronic pelvic pain		*Chronic [[pelvic pain]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	*Pelvic exam – bimanual usually reveals a mobile, enlarged, and soft or boggy uterus		*Pelvic exam – bimanual usually reveals a mobile, enlarged, and soft or boggy uterus
	*Transvaginal US		*Transvaginal [[pelvic ultrasound\|US]]
	*MRI usually reserved in cases when providers are seeking to distinguish between adenomysosis and leiomyomas <ref> Byun JY, Kim SE, Choi BG, Ko GY, Jung SE, Choi KH. Diffuse and focal adenomyosis: MR imaging findings. Radiographics. 1999;19 Spec No:S161-S170. doi:10.1148/radiographics.19.suppl_1.g99oc03s161 </ref>		*MRI usually reserved in cases when providers are seeking to distinguish between adenomysosis and leiomyomas <ref> Byun JY, Kim SE, Choi BG, Ko GY, Jung SE, Choi KH. Diffuse and focal adenomyosis: MR imaging findings. Radiographics. 1999;19 Spec No:S161-S170. doi:10.1148/radiographics.19.suppl_1.g99oc03s161 </ref>
	*Definitive diagnosis relies on histology, and so it is usually made during pathology examination of the uterus after a hysterectomy		*Definitive diagnosis relies on histology, and so it is usually made during pathology examination of the uterus after a hysterectomy
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	==References==		==References==
	<references/>		<references/>
			[[Category:OBGYN]]