ch. 74 gynecologic problems

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ch. 74 gynecologic problems
2013-03-15 18:04:01

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  1. endometriosis
    endometrial (inner uterine) tissue implantation outside the unterine cavity
  2. ectopic
    out of place
  3. does endometriosis happen more to people who are fertile or unfertile?
  4. what is the common symptom with endometriosis
  5. dyspaneunia
    painful sexual intercourse
  6. dysfunctional uterine bleeding (dub)
    excessive and frequent bleeding more than every 21 days

    occurs when there is a hormonal imbalance, generally when the ovaries fail to ovulate

    decreases progesterone production

    without progesterone prolonged estrogen stimuation causes the endometrium to grow past its hormonal support causing disordered shedding of the uterine linging

    can be anovulatory and ovulatory
  7. leiomyomas
  8. endometrial ablation
    removal of the built up uterine lining that stops blood flow to fibroids that are causing excessive bleeding
  9. vulvovaginitis
    inflammation of the lower genital tract resulting from a disturbance of the balance of hormones and flora in the vagina and vulva
  10. tss
    endodtoxins produced from the bacteria cross the vaginal mucosa to the blood stream via microabrasions from tampon insertion or prolonged use

    abrupt onset of fever, headache, flu like symptoms, sever hypotension with fainting
  11. uterine prolapse
    the most common pelvis organ prolapse

    can be caused by neuromuscular damage of childbirth, increased intra abdominal pressure related to pregnancy, obesity, or physical exertion, or weakening of the pelvic support due to decreased estrogen
  12. cystocele
    protrusionof the bladder through the vaginal wall
  13. rectocele
    protrusion of the rectum through a weakened vaginal wall
  14. surgical repairment of a uterine prolapse
    anterior colporrhaphy- anterior repair, tightens the pelvic muscles for better bladder support

    -use heat to soothe after surgery

    posterior colporrhaphy-posterior repair, reduces rectal bulging

    -low fiber diet, no straining, sitz bath
  15. leiomyomas
    fibroid or myomas-benign slow growing solid tumors of the uterine myometrium (muscle layer)
  16. intramural leiomyomas
    contained in the uterine wall within the myometrium
  17. submucosal leiomyomas
    protrude into the cavity of the uterus and can cause bleeding and disrupt pregnancy
  18. subserosal leiomyomas
    protrude through the outer surface of the uterine wall and may extend to the broad ligament pressing on other organs
  19. uterine artery embolism
    radiologist uses a percutaneous catheter inserted in the to femoral artery to inject polyvinyl alcohol pellets into the uterine artery, this blockage starves the tumor of circulation, allowing it or them to shrink
  20. myomectomy
    the removal of the leiomyomas from the uterus
  21. what is the most common reason for hysterectomys
  22. how big do leiomyomas have to be for a total abdominal hysterectomy...and a total vag. hysterectomy
    • vag-small
    • abdominal-larger than the size of a 16 week preg.
  23. marsupialization
    formation of a pouch that is a new duct opening
  24. cervical polyps
    pedunulated tumors that arise from the mucosa and extend through the opening of the cervical os
  25. endometrial cancer
    cancer of the inner uterine lining

    grows slow and increases vag bleeding
  26. cervical cancer
    most come from squamous cells on the outside of the cervix
  27. colopscopy
    procedure in which application of 3% acetic acid solution is applied to the cervix, cervix is examined under magnification with a bright filter light that enhances the visualization of the dysplasia or cancer
  28. loop electrosurgical excision procedure
    thin looped wire electrode that transmits painless electrical current is used to cut away affected tissue.
  29. ovarian cancer
    in response to exposure to estrogen

    bilateral salpingooophorectomy (removal of both ovaries and fallopian tubes)