What is the name a pt should be for a pap smear (delivery babies)?
When should pap smear should be done, stopped?
No pap until 21 yrs of age, and even every 3 yrs. -- after 65 yrs, no pap or HPV needed if they have been negative.
What is normal pH? What is the role of lactobacillus acidophilus? what is wet mount? how to do it?
pH: 3.8 - 4.2.
LA: may help maintain pH, n reduce the risk of infections (yeast). (Imprengnent in the panty line).
WM: dicharges that can be analyzed at the office under a microscope (GC, CH should be sent to the lab -- trichomonas moves in the slide) -- bacterial vaginosis (fishy smell) -- candidiasis (like yeast).
WM procedure: obtain sample from the fornix w 2 swabs -- 1st slide, sample w saline, then cover it to look at WBCs, Trich, clue cells, yeast/budding. -- 2nd slide, sample w KOH, then cover it, bacteria get killed and leaves yeast.
Bimanual examination purpuse?
To palpate cervix, uterus, and ovaries.
Extreme pain when touching the cervix could mean PID.
Cervix should be somewhat movable
what is this?
HPV genital warts.
S: palpula red a round lesion.
H: ulcer vesicle-like.
When are examination of male genitalia done?
when there r complaints.
Part of the new born examination.
overall well child or well person examination.
Male Infants and children differentiation?
sexual differentiation occurs 12 weeks gestation.
Foreskin fully retractable after 3-4.
Male pediatric differences? what is cryptochidism?
Cryptochidism: undescended testes.
They have higher risks of testicular cancer.
Develop pubic hair.
Decreased sexual activity.
Orgasm less intense.
all the others.
Past medical history?
Hypospadias and epispadias (when the urethra meitus is not at the tip of the penis).
Hydrocele (leakage of liquids) and varicocele (feels like a bag of warms).
Orcatis: inflammation of the testes, very painful.
Epididomitis: infection of the epidimious, usually caused from an STI or UTI.
what kind of hernias are there?
Indirect hernia: inguinal channel into the scrotum.
Direct:Not in the inguinal channel. abdominal wall weakness. See it in the abdominal area.
Femoral: below the inguinal channel.
What do u examine in the rectal exam?
Rectal wall: should be even and firm, should be able to go in abt 10 cms.
Prostate: normal size is abt 2-4 cms, smooth, movable, nontender.