PBL 8 Session 3

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PBL 8 Session 3 by Mind Map: PBL 8 Session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.2.1. the most common type of uturine tumors .. the patient doesn't have risk factors of the fibroid. however, the genetic predisposition may led to the development of the fibroid

1.2.2. the tumor has thin wall and is highly vasclurized which led to the bleeding and the lousy feeling .. the loss of blood led also to the iron deficiency anemia

1.2.3. the tumor has thin wall and is highly vasclurized which led to the bleeding and the lousy feeling .. the loss of blood led also to the iron deficiency anemia

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. goals of the managment

2.1.1.1. relieving symptoms

2.1.1.2. treating complication

2.1.1.3. managing the tumor

2.1.2. pharmacological managment

2.1.2.1. NSAID for the painful menses

2.1.2.2. GNRH agonist

2.1.2.2.1. will inhibit estrogen and progestrone

2.1.2.2.2. flushes as side effect

2.1.2.2.3. shrink the cyst

2.1.2.2.4. induse amenorrhea

2.1.2.2.5. induse amenorrhea

2.1.2.3. progestin IUD

2.1.2.4. progestin IUD

2.1.2.4.1. control bleeding

2.1.2.4.2. doesn't shrink the tumor

2.1.2.5. contraceptive pills

2.1.2.5.1. to reduce bleeding

2.1.2.6. Iron supplment for anemia

2.1.3. non-pharmacological

2.1.3.1. utrine artery imbolization

2.1.3.2. utrine artery ligation

2.1.3.2.1. less invasive the embolization

2.1.3.3. myomectomy

2.1.3.3.1. laproscopy or abdominal incision .. remove myoma from the uterus

2.1.3.3.2. does't affect fertality

2.1.3.3.3. could have complication

2.1.3.4. hysterectomy

2.1.3.4.1. if she is not interested in having children

2.1.3.4.2. last resort if minimal invasive not applicable

2.1.3.4.3. remove the symptoms

2.1.3.4.4. will need hormonal replacment therapy

2.1.3.4.5. may be used since the patient have family history

2.1.3.5. hyestroscopic myomectomy

2.1.3.5.1. in mucosal mymoma

2.1.3.5.2. through vagina

2.1.3.6. ultrasound

2.1.3.6.1. shrink the tumors by applying

2.1.3.7. endometrial ablation

2.1.3.7.1. least invasive

2.1.3.7.2. local anesthesia

2.1.3.8. myolysis

2.1.3.8.1. uses cryomyolysis freezes

2.1.4. involvement of infertility unit if she become infertile

2.2. Prevention

2.2.1. prevention is difficult

2.2.2. Vitamin D supplementation

2.2.2.1. for the high risk people

2.2.3. education

2.2.4. no evidance that removing the risk factor will prevent the disease

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes