Assessment4_ female genitalia

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Author:
vanwin
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215991
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Assessment4_ female genitalia
Updated:
2013-04-26 19:53:02
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  1. female genitalia subjective data
    • Menstrual hx; LMP
    • Obstetric hx:
    • vaginal discharge
    • menopause
    • urinary symptoms
    • sexual activities
    • STD contact
    • contraceptive use
    • self care
  2. Tools for vaginal assessment
    • speculum w/ light sources
    • lubricant
    • gloves
    • hemoccult
  3. Ways to help patients relax
    • empty bladder
    • position away from door
    • maintain eye contact & communicate
    • support person
    • dont abduct legs too far
  4. Possible cervix openings
    • nulliparous: small & round - no pregnancies
    • parous: horizongal - have given birth before
  5. bimanual vaginal exams looks at
    uterus & ovary positions
  6. female genitalia developmental considerations- infants
    • Infants: assess for ambiguous genitalias
    • swelling is normal due to maternal hormones
  7. Female genitalia developmental considerations - adolescents & older adults
    • adolescents: Tanner stages of development, menarche
    • older adults: decreased estrogen, thin & dry vaginal walls
  8. Herpes simplexII
    • local genital pain
    • dysuria
    • fever
    • clusters of small vesicles
  9. human papilloma virus
    • soft, watery papules
    • patchy cauliflower like shapes
    • painless
  10. bartholin gland abscess
    • pain in vaginal alrea
    • posterior orfice is red
    • tender upon palpate
  11. rectocele
    • collapsed rectum
    • -pressure in vagina
    • -constipation
    • -no pubic har
    • - bulging at posterior vaginal wall
  12. cystocele
    • bladder prolapse
    • -incontinence
    • solf, round bulge at anterior vaginal wall
  13. Risks for Yeast infection
    • change in vaginal flora
    • antibiotics
    • diabetes
    • chemotherapy
    • HIV
    • immunocompromised
  14. Risks for cervical cancer
    • early intercourse
    • multiple partners
    • STD's
    • smoking
  15. Ovarian cancer
    • asymptomatic until tumor enlarges
    • risk increases 40yrs old
    • abdominal pain
    • post menopausal bleeding
  16. Female STD's
    • often asymptomatic
    • may have discharge & itching
    • dysuria
    • abdominal pain
  17. common STD's
    • Trichomoniasis: inflammation
    • Chlamydia
    • Gonorrhea

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