Patient Assessment Female 2

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  1. When does Mastitis usually occur?
    During breastfeeding
  2. How does Mastitis develop?
    Infection enters a crack on the nipple skin
  3. What are the symptoms of Mastitis?
    Breast swelling or lump, pain, fever and warmth or redness of breast tissue
  4. In what ways can you distinguish breast cancer from fibrocystic changes?
    Cancer: Colored nipple discharge, dimpling or swelling, moveable mass, does not change with menstrual cycle, unilateral
  5. In what ways can you distinguish a plugged duct or mastitis from fibrocystic changes?
    Mastitis: Redness, warmth and swelling all point towards an infection
  6. Yeast infections are usually caused by what?
    Candida albicans
  7. What conditions allow for Candida albicans growth in the vagina and vulva?
    Moist with high vaginal pH (certain times of the menstrual cycle)
  8. Why do recurrent yeast infections occur in women?
    Inadequate treatment or reintroduction
  9. What are the risk factors of vaginal candidiasis?
    Pregnancy, DM, Immunosuppression, Antibiotics, Corticosteroids, Iron-deficiency, Vaginal surgery, Oral contraceptives, Synthetic occlusive clothing
  10. What are the signs/symptoms of Vaginal Candidiasis?
    Valvular itching/burning and thick white colored yeasty ordered discharge
  11. What does normal vaginal discharge look like?
    Clear and odorless
  12. What oral therapies are available for Vaginal Candidiasis and how often should they be given?
    Fluconazole, one dose treatment
  13. What topical therapies are available for Vaginal Candidiasis?
    Clomitrazole and Miconazole (Topical steroid creams to control burning/itching)
  14. What are the risk factors for Bacterial Vaginosis?
    Multiple sexual partners, smoking and douching
  15. What are the symptoms of Bacterial Vaginosis?
    Gray or yellow colored thin creamy discharge, fishy smell
  16. What is the treatment for Bacterial Vaginosis?
    Antibiotics: metronidazole, Clindamycin
  17. What is the most common STI among sexually active women?
  18. ____________ are less likely to have symptoms of Trichomoniasis.
  19. A patient with Greenish-yellow frothy discharge, painful urination and intercourse and vaginal itching and irritation most likely has what issue?
  20. What is the treatment for Trichomoniasis?
  21. How is Trichomoniasis prevented?
    Condoms, limited sexual partners, avoiding intercourse while infected
  22. What is Atrophic Vaginitis?
    Inflammation of the vagina due to thinning tissue and decreased lubrication
  23. What causes Atrophic Vaginitis?
    Decrease in estrogen
  24. What are the symptoms of Atrophic Vaginitis?
    Burning on urination, bleeding during intercourse and painful coitus
  25. What is the treatment for Atrophic Vaginitis?
    Vaginal lubricants
  26. What are the risk factors for Atrophic Vaginitis?
    Past menopause, breast cancer or endometriosis treatments, stress, depression, rigorous exercise, no ovaries, certain soaps/douches
  27. A patient complains of white, thick, curd-like vaginal discharge with a yeasty smell. What do you suspect?
    Vaginal Candidiasis
  28. A patient complains of thin, creamy grey or yellow colored vaginal discharge with a fishy smell. What do you suspect?
    Bacterial Vaginosis
  29. A patient complains of greenish-yellow frothy vaginal discharge with painful urination and intercourse, and vaginal itching and irritation. What do you suspect?
  30. A patient complains of blood-tinged vaginal discharge with bleeding after intercourse and painful urination and intercourse. What do you suspect?
    Atrophic Vaginitis
  31. Which of these vaginal issues can be cured with OTCs:
    • Vaginal Candidiasis, Bacterial Vaginosis, Trichomoniasis or Atrophic Vaginitis.
    • Vaginal Candidiasis and Atrophic Vaginitis
  32. Which of these vaginal issues require an MD referral:
    • Vaginal Candidiasis, Bacterial Vaginosis, Trichomoniasis or Atrophic Vaginitis.
    • Bacterial Vaginosis and Trichomoniasis
  33. What is Dysmenorrhea?
    Painful menstruation (abdominal or backache)
  34. Describe pain associated with Dysmenorrhea:
    begins a few days before menses, most severe during the first few hours of menses
  35. What is Primary Dysmenorrhea?
    Pain is present with normal pelvic anatomy/physiology
  36. The fist occurrence of Primary Dysmenorrhea occurs at what point?
    Within the first 3 years of menses
Card Set:
Patient Assessment Female 2
2013-11-29 17:25:56
Patient Assessment Female
Patient Assessment Female 2
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