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PATHOPHYSIOLOGY: ELECTIVE CESAREAN FOLLOWED BY HYSTERECTOMY (?), PATIENT X…
PATHOPHYSIOLOGY: ELECTIVE CESAREAN FOLLOWED BY HYSTERECTOMY (?)
PATIENT X
(2nd) Pregnancy
Low parity
increase estrogen exposure
proliferation of smooth muscle cells
benign proliferation of monochromial
Submucosal Leiomyoma (?)
↑ endometrial surface area
↑ endometrium to proliferate and lose during menstruation
iron deficiency anemia
spherical mass on ultrasound
enlarged uterine/ pelvic mass
↑ intra-adominal pressure
fibroid takes up space
1 more item...
compression of stomach
antepartum
intrapartum
placenta
Increase hormone production
estrogen
progesterone
↑ oxytocin
contraction in myometrium
labor
absence of progressive dilatation
possible family history (BAKA IREMOVE KASI NAGAASSUME)
complex chromosomal rearrangement
↑ amount of aromatase enzymes
↑ conversion of androgen to estrogen
Nature of Work (teacher)
STRESS
stimulate release of cortisol from adrenal gland
decrease progesterone
increase estrogen
hormonal imbalance
increase risk of fibroid growth
DIET
Caffeine
increase cortisol
overweight (?)
cesarean (low transverse)
hysterectomy
risk for postoperative respiratory depression (..inc why?)
tachypnea (26)
wound
administration of opioid drugs (?? ewan kung may ganto ba siya dhsfhashd)