Female Genetalia

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Female Genetalia
2011-03-04 04:42:23
PD FEMALE Female Genetalia Vaginal exam pap Chapt

Female genetalia
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  1. Produces tender adenexal areas, patient guarding and cannot tolerate bimanual examination
    Acute PID
  2. Bilateral tenderness, irregular and fairly fixed adenexal area
    Chronic PID
  3. Inflamation or infection of the fallopian tubes often associated with PID, s/s Lower quadrant pain with tenderness on bimanual exam
  4. results from weakening of the supporting structures of the pelvic floor, occuring concurently with cystocele and retocele
    Uterine prolapse
  5. Cervix is introitus
    second degree uterine prolapse
  6. Cervix and vagina drops outside the introitus
    Third degree uterine prolapse
  7. They are bright red, soft and fragile and usually arise from the endocervical canal or OS
    Cervical polyps
  8. These types of cyst may occur singly or multiple and often distort the shape of the cervix
    Infected nabothian cysts
  9. Homogenous thin white or gray discharge pH<4.5, no foul odor, itching or edema, discharge may have fishy odor
    • Bacterial Vaginosis
    • (gardnerella vaginalis)
  10. Presents with watery discharge, foul odor, dysuria and dyspareunia with severe infection
  11. Profuse frothy greenish discharge pH 5.0-6.6 red friable cervix with petechiae
  12. Asymptomstic, partner with STI, Purelent discharge from cervix, skene/bartholin gland inflamation, cervix and vulva may be inflammed. These are signs of
  13. This is often asymptomatic, partner with nongonoccal urethritis, may complain of spotting after intercourse, not always showing a discharge and cervis may or may not be red or friable
  14. Hernial protrusion of the rectum through the posterior of the vaginal wall, observed and palpated when woman bears down
  15. Hernial protrusion of the urniary bladder through the anterior wall of the vagina, sometimes exiting the introitous, buldging can be seen and felt when woman bears down
  16. Can be acute or chronic, inflamation of these glands produce a hot, red, tender, fluctuant, swelling that may drain pus. (acute). Chronic may non tender cyst on the labium
    Inflamation of the bartholin gland
  17. Flat, round, oval papules covered by gray excudate, that are secondary lesions of syphillis appearing about 6-12 weeks after infection
    Condyloma latum
  18. Caused by poxivirus
    incubatiuon 2-7 weeks
    presents as white or flesh colored, dome shaped papules that are round or oval, central umbilication from which thick creamy core can be expressed
    Dx based on clinical appearence
  19. These warty lesions are generally flesh colored, whitish-pink to reddish brown, discrete, soft growths, occur singly or in clusters on the labia, perianal region
    Condyloma Acuminatum (genital warts)
  20. Two innominte bones(eachconsisting of the illium, ischium, and pubis) the sacrum and coccyx
    Bones of the pelvis
  21. days 1-4 of the menstral cycle
    Menstral phase
  22. Preovulatory phase, days 5-12
    Post menstral
  23. days 13-14 of the menstral phase
    Ovulation phase
  24. Days 15-20 of the menstral phase
    Secretory phase
  25. Leuteal phase days 21-28 of menstral cycle
    Premenstral phase
  26. The symphysis pubis, the sacroccygeal, and two sacroiliac joints
    the four pelvic joints
  27. Lack of regular pap screenings
    HPV infections
    Sex bfor 16, multiple sex partners
    Cigarette smoking
    diets low in fruits
    Invasice cancer higher in blacks
    DES exposure
    Oral contraceptives
    Low Socioeconomic status
    Risk factors for cervical cancer
  28. List the risk factors for Ovarian cancer
    • Increase with age
    • Early menarche (before 12)
    • infertility
    • nulliparity
    • first child after 30
    • menopause after 50
    • Use of fertility drugs
    • Family HX
    • BRCA1 or BRCA2 gene
    • Personal Hx ofd Breast cancer or colon cancer
    • Hormone replacement therapy
    • high fat fiet
    • Talcum piwder
  29. Where would Contraceptive history fall under
    Personnal and social history
  30. When inserting the speculum what type of pressure should you maintain
    Gently downward pressure, then sweep up till cervix comes into view
  31. The durface of the cervix should be? and what could be around the circle of the os
    • Smooth
    • SYMMETRIC REDDENED squamous epithilium
  32. Describe the size and shape of the OS of the nulliparous woman
    Round and oval
  33. Describe the shape of the os of a multiparous woman
    May be irregular or stellate, horizontal slit
  34. What tool is used for the papanicolaou smear
    Brushes and brooms
  35. What specimine are you collecting when using a dacron swab
    DNA Probe for chlamydia and gonorrhea
  36. How should the ovaries feel during palpation
    • firm
    • smooth
    • ovid 3 by 2 by 1 cm
    • slight;y tender to palpation