A 28-year-old female has been diagnosed with Endometriosis. Differentiate between Endometritis versus Endometriosis. What is the difference in presentation and pathophysiology of the affected organs? What would you tell this patient in terms if treatment of Endometriosis and what work up she might suspect
What is the Endometrium?
The endometrium is the mucous membrane lining of the uterus that increases in thickness during the later stages of the menstrual cycle. The endometrium thickens as it prepares to accept an embryo when conception occurs (Cornforth, 2014). The endometrium and myometrium are usually resistant to infections due to a barrier formed by the endocervix that prevents ascending infections (Grossman and Porth, 2014).
What is Endometritis?
Endometritis is an inflammation of the endometrial lining of the uterus that may involve the myometrium and parametrium (Rivlin, 2013). Endometritis occurs when the cervical barrier is compromised as a result of an abortion or after the delivery of a newborn (Grossman and Porth, 2014). There is a higher risk for endometritis following the delivery of a new born if the woman had chorioamnionitis during labor, had a cesarean section, or required a manual or instrumented removal of the placenta (Grossman and Porth, 2014).
Endometritis is usually not a serious condition and will resolve when treated with antibiotics (Stang, 2012). Prophylactic antibiotics are usually given before and after and abortion for the prevention of endometritis (Grossman and Porth, 2014). Antibiotics are also prescribed when products of conception or placenta are retained and a curettage procedure is necessary (Grossman and Porth, 2014).
Chronic inflammation of the endometrium can occur in conditions that inc...
... middle of paper ...
...alth states (9th ed.). Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781469871639/pages/107746227
Mao, A. J., & Anastasi, J. K. (2008, October). Diagnosis and management of endometriosis: The role of the advanced practice nurse in primary care. Journal of the American Academy of Nurse Practitioners, 22(2010), 109-116. Retrieved from http://web.a.ebscohost.com.southuniversity.libproxy.edmc.edu/ehost/pdfviewer/pdfviewer?sid=50a0213f-ac4e-4371-a3db-493b6e6a7990%40sessionmgr4003&vid=7&hid=4201
Rivlin, M. E. (2013). Endometritis. Retrieved May 2, 2014, from http://emedicine.medscape.com/article/254169-overview
Stang, D. (2012). Endometritis. Retrieved from http://www.healthline.com/health/endometritis
What is endometriosis? (2013, April 9). Dominion Post. Retrieved from http://search.proquest.com.southuniversity.libproxy.edmc.edu/docview/1324440435
After normal delivery, GBS can also lead to infection of the inner lining (endometrium) of the uterus. For mothers who deliver by C-section, wound infection risk is increased.
When horrific crimes occur in large cities, many of them can be chalked up to gang violence or to the larger population of that specific city. But when horrific crimes happen in small cities like Lincoln, Nebraska, people begin to ask questions like who did this and why. In 1958, a nineteen year old man named Charles Starkweather put the entire state of Nebraska and possibly the entire nation in a state of terror. With his murder spree taking only three days, Starkweather had collected a body count of ten bodies, including two teenagers and a young child. Understanding Starkweather’s past and state of mind begins to answer the second question of why.
...e women already are aware that they have this condition before they try to get pregnant. They usually know because they have experienced extremely painful periods, extremely heavy flows, and, in addition to pain during their menstrual cycle…” (Robertson, 2011).
Bacterial vaginosis is identified with patient with high incidence of endometritis and pelvic inflammatory disease status post abortion and/or gynecological procedures (Hainer & Gibson, 2011). This vaginal infection, bacterial vaginosis, has been associated with status post and postpartum endometritis, pelvic inflammatory disease (PID), and during pregnancy, late fetal loss and spontaneous preterm birth (Verstraelen, Verhelst, Vaneechoutte, & Temmerman, 2010).
There are many types of abortion the differences relying on which one best fits the women and the fetus. A medical abortion is used only in the first nine weeks after conception and ends pregnancy by taking two pills. The first being mifepristone which blocks progesterone and makes the uterus very thin. Misprostol is the second pill taken a few days later that makes the uterus expands and empty.
Sometimes abortion happens on its own this is known as a miscarriage or spontaneous abortion. But women can also choose to end a pregnancy by getting surgery or taking medicine. There are two kinds of abortion in the United States which as in-clinic abortion or abortion pill. Starting with in-clinic abortion there is more than one procedure. The most common is called aspiration also known as vacuum aspiration and D&E “dilation and evacuation which both are usually used up to 16 weeks after a woman’s last period. An abortion pill or mifepristone is a medication that ends an early pregnancy. In general it is used up to 63 days or 9 weeks after the first day of a woman’s last period. There are a few states that limit the use of the abortion pill to 49 days. There are many reasons why women choose the pill. For example, it can be done early they can begin treatment as soon as they know they are pregnant and it is private so the process can be done at home. How safe is the in-clinic and abortion pill? Most women can have either of these done safely, but with all medical procedures have some risk, so safety is a concern. Most often, any complications can be simply treated with medicine or other
Anderson, A. R., & O’Grady, E. T. (2009). The primary care nurse practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Ed.), Advance practice nursing and integrative approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
Spark Ralph, S. & Taylor, C. M. (2011). Nursing diagnosis reference manual (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Nurse practitioners in primary care will often be presented by a woman having dysfunctional uterine bleeding (DUB). This difficult to diagnose condition can be complex. According to Schuiling & Likis it accounts for one third of all annual gynecologic visits (2013, p. 610). The terms abnormal uterine bleeding and dysfunctional uterine bleeding has fallen out of favor and anovulatory uterine bleeding has become the standardized terminology. Because many clinicians still use it, this paper shall use the terminology of dysfunctional uterine bleeding (DUB).
Spark Ralph, S. & Taylor, C. M. (2011). Nursing diagnosis reference manual (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Endometriosis is when the endometrial lining of the uterus bleeds and attaches to other organs and healthy tissues in the body. There is no one organ endometriosis favors it had been known to attach to the bladder, bowel, intestines and fallopian tubes. All though it has been found in the lungs and heart.
St. Louis, MO: Elsevier Ackley, B.J., Ladwig, G.B., & Flynn Makic, M. (2017). Nursing diagnosis handbook (11th ed.). St. Louis, MO: Elsevier University.
During a normal menstrual cycle, the lining of your uterus thickens and then sheds when a fertilized egg doesn't attach, resulting in your period. But when this lining starts to grow outside of the uterus, like on your ovaries or inside the pelvic cavity, it becomes inflamed, grows, and essentially has nowhere to go, says Ghadir. The result is severe pelvic pain, usually during your period, along with significant scarring to the surrounding tissue. It may also lead to large cysts on your ovaries called endome...
Gordon, M. (2007). Manual of nursing diagnosis: including all diagnostic categories approved by the North American Nursing Diagnosis Association (11th ed.). Sudbury, Massachusetts: Jones and Bartlett.
Menstruation, also known as a menstrual period, is the monthly shedding of the lining of the uterus. The uterus is the organ in the lower abdomen where a baby grows during pregnancy. Menstruation involves the passing of blood, tissue, fluid, and mucus. The flow of blood usually occurs during 3–7 consecutive days each month.