FEMALE Flashcards
(33 cards)
Lesions may be from an
infectious disease, such
as herpes or syphilis
Drainage from the urethra
indicates possible
___
urethritis.
Asymmetric labia may
indicate abscess. Lesions,
swelling, bulging in the
vaginal opening, and
discharge
A condition in which the
vagina becomes thinner
and dryer is vaginal
atrophy. This occurs when
the body lacks estrogen.
Bulging of the anterior wall
may indicate a
bulging in the anterior vaginal wall caused by thickening of the pelvic musculature. As a result, the bladder, covered by vaginal mucosa, prolapses into the vagina.
cystocele.
Urethritis may occur with
infection with Neisseria
gonorrhoeae or
Chlamydia trachomatis.
Bulging of the posterior
wall may indicate a
bulging in the posterior vaginal wall caused by weakening of the pelvic musculature. Part of the rectum covered by the vaginal mucosa protrudes into the vagina.
rectocele
If the cervix or
uterus protrudes down,
the client may have
the uterus protrudes into the vagina. It is graded according to
how far it protrudes into the vagina.
uterine prolapse
An enlarged uterus above
the level of the pubis is
abnormal; an irregular
shape suggests
abnormalities such as
myomas (fibroid tumors)
or endometriosis.
often first appear on the perianal area as silvery-white papules that become superficial red ulcers. Syphilitic chancres are painless. They are sexually
transmitted and usually develop at the site of initial contact with the infecting organism.
Syphilitic chancres
A reddened, swollen, or
dimpled area covered by a
small tuft of hair located
midline on the lower
sacrum suggests a
pilonidal cyst
caused by the human papillomavirus (HPV), are moist, fleshy lesions on the
labia and within the vestibule. They are painless and believed to be sexually transmitted.
Genital warts,
the cervix is seen at the vaginal
opening;
In first-degree prolapse,
The cervix normally appears bluish in the client who is in her first trimester of pregnancy.
However, if the client is not pregnant, a bluish color to the cervix indicates __
CYANOSIS OF THE CERVIX
venous congestion or a diminished oxygen supply to the tissues
the uterus bulges outside of the vaginal opening;
in second-degree prolapse,
A hardened ulcer is usually the first indication of cervical cancer, but it may not be visible
on the ectocervix. In later stages, the lesion may develop into a large cauliflowerlike
growth. A Pap smear is essential for diagnosis.
CANCER OF THE CERVIX
the uterus bulges completely out of the vagina.
in third-degree prolapse,
typically develops in the endocervical canal and may protrude visibly at the
cervical os. It is soft, red, and rather fragile. Cervical polyps are benign.
CERVICAL POLYP
This condition produces a mucopurulent yellowish discharge from the external os. It usually indicates infection with Chlamydia or gonorrhea. However, these STIs may also occur with no visible signs, although the discharge may change the cervical pH (3.8–4.2)
MUCOPURULENT CERVICITIS
a drug used more than 50 years ago to prevent spontaneous abortion and premature
labor, was learned to be teratogenic (capable of causing malformations in the fetus).
Women who were exposed to this drug as fetuses may have cervical abnormalities that may
progress to cancer. Some abnormalities associated with maternal DES use include columnar epithelium that covers most or all of the ectocervix, columnar epithelium that extends onto
the vaginal wall, a circular column of tissue that separates the cervix from the vaginal wall,
transverse ridge, and enlarged upper ectocervical lip
MALFORMATIONS FROM EXPOSURE TO DIETHYLSTILBESTROL
is inflamed and eroded, appearing reddened and rough. Erosion usually occurs with
mucopurulent cervical discharge
CERVICAL EROSION
This type of vaginal infection is caused by a protozoan organism and is usually sexually
transmitted. The discharge is typically yellow-green, frothy, and foul smelling. The labia
may appear swollen and red, and the vaginal walls may be red, rough, and covered with
small red spots (or petechiae). This infection causes itching and urinary frequency in the
client. Upon testing, the pH of vaginal secretion will be greater than 4.5 (usually 7.0 or
more). If a sample of vaginal secretions is stirred into a potassium hydroxide solution (KOH prep), a foul odor (typically known as a “+” amine) may be noted.
TRICHOMONAS VAGINITIS (TRICHOMONIASIS)
occurs after menopause when estrogen production is low. The discharge produced may be blood-tinged and is usually minimal. The labia and vaginal mucosa appear atrophic. The vaginal mucosa is typically pale, dry, and contains areas of abrasion that bleed easily. causes itching, burning, dryness, and painful urination
Atrophic vaginitis
This infection is caused by the overgrowth of yeast in the vagina. It causes a thick, white,
cheesy discharge. The labia may be inflamed and swollen. The vaginal mucosa may be
reddened and typically contains patches of the discharge. This infection causes intense itching and discomfort
CANDIDAL VAGINITIS (MONILIASIS)
