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Sinclair Paramedic 2150 > 7.5- GYN > Flashcards

7.5- GYN Flashcards

(52 cards)

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1
Q

What is important to ask for GYN history

A
  • Pain
  • FDLMP
  • Vaginal discharge (color, amount, frequency, smell)
  • SAMPLE/OPQRST
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2
Q

Dysmenorrhea

A

Painful menses

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3
Q

Dyspareunia

A

Pain during sex

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4
Q

Name of the upper, convex part of the uterus

A

Fundus

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5
Q

Layers of the uterus

A

Myometrium

Endometrium

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6
Q

Name of the neck of the uterus

A

Cervix

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7
Q

What does the cervix connect

A

Uterus and vaginal canal

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8
Q

What makes up the birth canal

A

Uterus, Cervix, Vaginal canal

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9
Q

Perineum

A

Tissue between vaginal opening and anus

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10
Q

Clitoris (The Myth)

A

Unfounded region of labia minors that come together in folds for female sexual stimulation

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11
Q

Menarche

A

Onset of menses

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12
Q

Menopause

A

End of menses in the females life

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13
Q

What is Mittleschmerz

A

Abdominal pain and cramping with accompanying symptoms in the middle of the menstrual cycle

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14
Q

Two phases of the menstrual cycle

A

Ovarian (days 1-5)

Uterine (days 5-28)

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15
Q

Two phases of the ovarian cycle

A

Follicular (Proliferative) (days 6-13)

Luteal (Secratory) (days 15-28)

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16
Q

What is ovulation, when does it occur

A

Release of egg/ovum from follicle

Occurs about 14 days after start of previous menstrual cycle

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17
Q

How long does menstruation usually last and avg blood loss

A

4-6 days

25-65 mL of blood loss

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18
Q

What is amenorrhea

A

The absence or cessation of menses

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19
Q

What is the most common cause of amenorrhea

A

Pregnancy

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20
Q

What are the parts of the internal female reproductive system

A
  • Follicles
  • Ovaries
  • Fallopian tubes
  • Uterus
  • Cervix
  • Vaginal canal
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21
Q

What are the parts of the external female reproductive system

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A
  • Mons pubis
  • Labia majora and minora
  • Clitoris
  • Hymen
22
Q

What are Bartholian glands

Study These Flashcards
A

Glands with ducts that exit each side of lower vagina that secrete mucous lubricant during intercourse

23
Q

Vaginitis

Study These Flashcards
A

Inflammation of the vagina from infection

S/S-Itching, irritation, discharge with odor, pain during sex, L abd pain

24
Q

TORCH syndrome

  • Explain
  • Complications
Study These Flashcards
A

Toxoplasmosis, Other agents, Rubella, Cystomegalovirus, Herpes Simplex.
-Infections pass through placenta from woman to fetus, higher risk the longer into pregnancy

Complications- Learning, visual, hearing problems as fetus grows older

25
What is HELLP syndrome
Hemolysis (RBC breakdown) Elevated Liver enzymes Low Platelets
25
Cytomegalovirus - Explain - Complications
Herpes family, can lay dormant for years Complications-Newborn-Lung problems, blood problems, liver problems, swollen glands, rash and poor weight gain
26
Toxoplasmosis - Explain - Complications
Caused by parasite from woman handling raw/contaminated food or changing cat litter Complications are same as TORCH syndrome
28
What is a ruptured ovarian cyst
Fluid filled sac on ovary ruptures S/S- - Sudded, unilateral steady pain - Radiates to shoulder with possible vag bleeding - Bleeding 1 wk prior to period
29
PID S/S Treatment
Infection of a woman reproductive organs S/S- gradual onset, bilateral ache, RUQ radiation, vaginal bleeding within 1 week after period
30
What is cystitis | S/S
Inflammation of inner lining of urinary bladder S/S- Urge to pee w/ burning, fever, L abd pain, foul smelling/blood tinged urine
31
What is endometritis | S/S
Inflammation of uterine lining, after giving birth from retaining products of conception S/S-Fever, foul smelling discharge, L abd pain
32
What is endometriosis S/S Treatment
Ectopic or regurgitated growth of endometrial tissue, pain relief after menstruation S/S- Dysmenorrhea, Suprapubic pain, Premenstrual spotting Treatment-Analgesics
33
Dysfunctional Uterine Bleeding S/S Treatment
Hormonal events for menstrual cycle balance are interrupted, mainly at monarchy or menopause S/S Abnormal amount or frequency of vaginal bleeding Treatment Supportive Position of comfort Dressings, towels to absorb significant bleeding
34
Chronic Hypertension - Explain - Fetal complications (6)
- BP > 140/90, any time before, during after pregnancy, at 110D, pt can have stroke or Cardiovascular damage - Retard growth/development, Impair liver/renal, pulmonary edema, life threatening seizure
35
Cholestasis - Explain - S/S - Complications
Liver disease, slowing/blocking bile flow and can back up into blood stream S/S- Profuse/painful itching, fatigue, depression, nausea, RUQ pain, dark urine Complications- Can have still birth or preterm birth
36
Abortion definition
Expulsion of fetus before 20th week gestation for any reason
38
What is a spontaneous abortion
A natural abortion usually with a cause that cannot be found
39
What is fisting
Placing a closed fist and wrist into a body orifice for sexual stimulation
40
What is elective abortion
Abortion brought about intentionally
41
Septic abortion Explain S/S Treatment
Result of uterine infection following any type of abortion S/S- Bad smelling discharge usually a few hours after abortion, fever, abdominal tenderness Treatment- Treat septic shock if needed
42
What are habitual abortions
Three or more consecutive pregnancies that end in miscarriage
44
Threatened abortion
Abortion attempting to take place, usually bleeding during first trimester, may have abdominal pain or menstrual cramps
47
Imminent abortion - Explain - S/S - Treatment
Can’t be prevented, severe abdominal pain from strong uterine contractions S/S- Vaginal bleeding, cervix dilation Treatment- IV/Fluid, O2, ECG
47
Missed abortion Explain S/S
Fetus dies during the first 20 weeks but remains in utero S/S- Vag bleeding w/ diminishing signs of pregnancy, brown vaginal smelly discharge
48
Hyperemesis Gravidarum (Morning sickness) - Explain - S/S - Treatment
Persistent nausea/vomiting during pregnancy, more in first several weeks S/S- Severe/ persistent vomiting (3-4+ a day), projectile, nausea, pallor, maybe jaundice Treatment- BGL, IV fluid 250ml/reassess, Diphenhydramine 50 mg IV (not with MOA inhibitors), Odansetron .4 mg IV, Ortho vitals, ECG
49
Incomplete aboriton Explain S/S Treatment
Products of conception are expelled but not all S/S-Continuous vaginal bleeding Treatment- IV/Fluid, possibly fundal massage
49
Complete abortion
When all products of conception are expelled
50
Rh Sensitization - Explain - Newborn presentation
When absent on infant RBC’s, fetus blood enters mother, her body recognizes it as bad. It can eventually attack fetus RBC’s in future pregnancies. This can kill that fetus, cause hemolytic disease. NB presentation- Jaundice, anemia, hepatomegaly (enlarged liver)
50
Problem of maternal UTI in pregnancy
Can result in stillbirth | -If passed to newborn it can cause Resp problems, septic shock and meningitis 7 days-months after birth
51
What is supine hypotensive syndrome Cause S/S (6) Treatment (4)
Cause- Uterus compression of inferior vena cava, reducing blood return to the heart S/S- Nausea, dizzy, TachyC, anxiety, resp distress, syncope Treatment- Left lateral, treat underlying cause, monitor vitals and ECG
52
Gestational Diabetes - Explain - Associated problems
- After wk 20 of gestation, abnormal BP increase that subsides after birth - Can be early sign of preeclampsia
53
Peripartum Cardioyopathy (PPCM) - What is it - Risk factors
Uncommon form of heart failure during the last month of pregnancy and up to 5 months after -Fat, Hx of Cardiac probs, Certain meds, Alcohol, Multipara, Black, Poor diet

Sinclair Paramedic 2150 (16 decks)

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