Care of Patients with Repro Disorders Part 1
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. What would you like to do?
What has a section removed from it for a vasectomy?
Where is the sperm stored?
What is the cordlike excretory duct of the semen in the testicle?
What is it called when the prepuce constricts, and if not cared for properly, can adhere, requiring intervention such as circumcision?
What is the skin covering the glans penis, which is sometimes removed (circumcision)?
What is the area on a female called that has hair growth in the genital area?
What engorges with blood on a female when sexually aroused?
What is a person called when they have sexual organs of both genders?
In relation to gender, what is established at conception (DNA), and is further influenced at puberty and by hormones?
In relation to gender, what is a sense of masculinity/feminism, and is influenced by social expectations and behaviors?
In relation to gender, what is a clear and persistent erotic desire for a specific gender?
What are three requirements when gathering a patients history?
- Privacy (try to get EVERYONE else out of the room regardless of who they are, promotes honesty)
- Trust (confidentiality)
How can you wash off syphilis?
Soap and water
If pregnant with syphilis, how old is the fetus when treated?
18 months, after that, it’s in the fetus’s blood stream
T/F Syphilis is often associated with other STDs.
How is syphilis diagnosed?
- Culture if recently acquired-Venereal disease research lab test (VDRL)
- Blood test if had for while-Rapid plasma regain test
Syphilis is caused by what, and what type of pathogen is it?
How is syphilis transmitted?
- Sexual intercourse during 1st two stages
- Mother to fetus
List the stages of Syphilis in the correct order and give a brief description of each
What is present during the Primary stage of syphilis?
Chancre (ulcers in genital area, usually only 1-3, painless)
What are chancres?
Ulcers in genital area, usually only 1-3, painless
What is present during the Secondary stage of syphilis?
- Skin rashes-can be throughout whole body, but concentrated on palms and soles of feet
- Patchy hair loss
- Enlarged lymph nodes
- Lesions those are moist, raised, and gray to pink on genital/perirectal
What symptoms are present during the Latent stage of syphilis?
None, patient is asymptomatic during this stage
What is present during the Tertiary stage of syphilis?
- Lesions in any organ
- Pain, and loss of sensation in the legs
- Attacks brain and heart
What is the Ping-Pong effect?
Re-exposure after treatment due to not treating partner for STD
What is the treatment for gonorrhea?
One time treatment of 1 gram rocephin IM, and 1 gram zithromax PO
What pathogen is gonorrhea caused by?
How is gonorrhea diagnosed?
What are the S&S of gonorrhea with men and women?
- Men: resembles UTI
- Females: vaginal discharge
- Both: can have eye infections, nausea and vomiting
What could you educate a patient about regarding gonorrhea?
- Wear loose and absorbent under garments
- Good hygiene
- Sitz bath (decreases lower abd discomfort and dysuria)
What is the most commonly occurring STD in the US?
What is the most common communicable disease in the US?
What is the 3rd most frequently reported communicable disease in the US?
What type of med is used for Chlamydia?
How is Chlamydia diagnosed?
Culture and direct fluorescent antibody test (DFA)
What are some S&S of Chlamydia?
- Can be asymptomatic
- Females: vaginal itching, burning, irregular bleeding
- Males: burning urination
How can Chlamydia lead to sterility?
- It can scar fallopian tubes, which can lead to ectopic pregnancies
- Need to remove fallopian tube and possibly ovaries due to damage
Trichomoniasis is caused by what pathogen and what type is it?
What kind of environment does Trichomoniasis thrive in and how can the vagina become more susceptible to it?
- Vagina is acidic, though semen, douching, oral contraceptives and some antibiotics reduce acidity, making it more alkalinic
What are some S&S of Trichomoniasis?
- Most are aysmptomatic
- Famales: vaginal itching, discharge (frothy, profuse, gray, green or yellow and smells)
- Males: purulent discharge, itching, dysuria (burning sensation)
How Trichomoniasis treated and what are some things to teach about the treatment?
- Urine turns dark brown
How is Trichomoniasis diagnosed?
Microscopic exam of discharge aka ‘wet prep’
What are some S&S of Candidiasis? (aka yeast infection)
- Females: cottage cheese like discharge, itchy, inflamed vulva
- Males: purulent discharge, exudates
- Systemic S&S: chills, fever, general malaise
How is Candidiasis treated? (aka yeast infection)
- Diflucan (one pill)
- “Yogurt Therapy”
What are some S&S of Genital Herpes 1 and 2? (HSV)
- Fluid filled vesicles, eventually turning to red ulcers with halo
- Possible to get into exposed cuts and become systemic
- 1st time, get flu-like S&S then outbreaks
When is Genital Herpes 1 and 2 (HSV) contagious?
- 12-24 hrs prior to tingling which happens before outbreak
- Can also transfer to fetus if delivered vaginally (can get into lungs and/or eyes)
Prevention of Genital Herpes 1 and 2 (HSV) requires what type of condom?
How is Genital Herpes 1 and 2 (HSV) treated?
- Acyclovir to inhibit viral replication
- Pain control, usually lydocain (topical) or codeine (PO), or aspirin (PO)
What are some NI that can be done r/t Genital Herpes 1 and 2 (HSV)?
- Educate to wear loose under garments
- Sites sensitive to heat
- Sitz Bath-soothes area and reduces inflammation
- Hygiene-keep area clean and dry
What would you like to do?
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