female disorders Flashcards

(71 cards)

0
Q

bartholin gland cyst symptoms

A

produces pain, local discomfort infection can cause inflammation of the glad and may result in abscess

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1
Q

bartholin gland cyst and abscess

A

fluid filled sac located near the vaginal introitus that results from obstruction of the main duct of the gland

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2
Q

bartholin gland cyst

treatment

A

antibiotics applying moist heat, incision and drainage, may require surgical intervention

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3
Q

bratholin gland cyst

marsupialization

A

a procedure that involves removal of a wedge of vulvar skin and the cyst wall

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4
Q

vulvodynia

A

unexplained vulvar pain

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5
Q

vulvodynia

A

burning, stinging irritation, soreness or rawness in the absence of visible findings or a specific clinically identifable neurological disorder

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6
Q

cervicitis

A

acute of chronic inflammation of the cervix

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7
Q

endometriosis

A

functional endometrial tissue is found in ectopic sites outside the uterus

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8
Q

endometriosis becomes apparent in the

A

reproductive years

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9
Q

endometriosis lesions are stimulated by

A

ovarian hormones associated with infertility

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10
Q

endometriosis symptoms

A

pelvic pain back pain

dyspareunia, pain on defecation and micturition

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11
Q

endometriosis definitive diagnosis can only be accomplished through

A

laparoscopy

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12
Q

endomitriosis treatment

A

simple observation and nasids ( young women) oral contraceptives, continuous progesterone therapy, androgenic agents, long acting Gn-Rh analogs that suppress ovulation may require surgery

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13
Q

endometriosis definitive treatment requires total

A

hysterectomy and bilateral salpingoophorectomy

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14
Q

adenomyosis

A

endometrial glands are found within the myometrium interspersed between smooth muscle fiber

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15
Q

adenomyosis is typically found in

A

multiparous women in there fourth or fith decade

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16
Q

adenomyosis symptoms

A

heavy, painful periods with clots and dyspareunia

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17
Q

adenmoyosis resolves with

A

menopause

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18
Q

adenomyosis treatment

A

oral contraceptives or Gn-Rh agonist, hysterectomy if this approach doesn’t work

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19
Q

endometrial cancer

A

most frequent invasive cancer of the female reproductive tract

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20
Q

endometrial cancer is typically a disease in ______ women

A

postmenopausal

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21
Q

endometrial cancer arises in _____ women with _____ excess or older women with endometrial atrophy

A

perimenopausal

estrogen

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22
Q

endometrial cancer risk factors

A

obesity, diabetes, nulliparity, early menarche and late menopause

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23
Q

endometrial cancer symptoms

A

abdominal painless bleeding later signs are cramping, pelvic discomfort, postcoital bleeding lower abdominal discomfort and enlarged lymph nodes

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24
endometrial cancer diagnosis
dilatation and curettage
25
endometrial cancer treatment
surgery and radiation are most successful
26
cystocele
herniation of the bladder into vagina
27
cystocele symptoms
annoying bearing down sensation, difficulty emptying bladder, frequency and urgency and cystitis
28
rectocele
herniation of the rectum into the vagina
29
rectocele symptoms
discomfort of the protrusion of the rectum an difficulty in defecation
30
enterocele
bowel protrudes when woman is standing
31
uterine prolapse
bulging of the uterus into the vagina when the primary supportive ligaments are stretched
32
uterine prolapse | first degree
shows some descent but cervix has not reached introitus
33
uterine prolapse | second degree
cervix or part of the uterus has passed through the introitus
34
uterine prolapse | third degree
entire uterus protrudes through the vaginal opening
35
what could you teach a pt with uterine prolapse that could fix these problems
kegel exercises
36
most uterine prolapse require
surgery
37
bartholin cyst produces acute inflammation within the gland and may result in
abscess
38
vulvodynia treatment
``` avoid harsh soaps & perfume sitz baths antihistamines anti-fungal application of topical ointments (lidocaine ointment) ```
39
with vulvodynia physical therapy may be use to
reverse the changes in the pelvic floor muscles ( help woman control muscles regain strength and improve relaxation
40
oral medications including tricyclic antidepressants and are ur to treat pt with vulvodynia for
neuropathic pain
41
acute cervicitis
may result from direct infection of the cervix or may be secondary to vaginal or uterine infection
42
acute cervicitis | symptoms
cervix become reddened and edematous and there may be mucopurulent drainage
43
chronic cervicitis seen mostly in ________ women
parous
44
chronic cervicitis symptoms
cervix may be ulcerated or normal in appearance cervical os may be distorted
45
untreated chronic cervicitis may extend to include the development of
pelvic cellulitis low back pain, dyspareunia cervical syenosis dysmenhorrhea and ascending infection of the uterus or fallopian tubes
46
chronic cervicitis is diagnosed by
vaginal exams coloscopy pap smears and sometimes biopsy
47
treatments for chronic cervicitis
cryosurgery and cauterization
48
premenstrual syndrome disorders physical symptoms include
painful and swollen breast bloating, abdominal pain headache and beack ache
49
premenstrual syndrome disorders psychological symptoms
depression ,anxiety, irritability, and behavioral changes
50
premenstrual syndrome disorders diagnosis
focus on documentation of the relationshipof woman symptoms to the lutal phase of the menstrual cycle
51
premenstrual syndrome disorders treatment
lifestyle changes pharmacological treatment ( diuretics nasids anxiolytics)
52
menopause
cessation of menstrual cycle (usually 48-55yrs old) | woman who has not menstruated for a full year or has an fSH level greater than 30 miu/ml is considered menopausal
53
perimenopause
yrs surrounding menopause (approx 4yrs and is characterized by menstrual irregularity and other menopausal symptoms
54
in _________ breast tissue body hair, skin elasticity and subcut fat decreases the ovaries and uterus diminish in size and the cervix and vagina become pale and friable
perimenopause
55
can cause vaginal dryness, urinary stress incontinence, urgency, nocturoa, vaginitis, UTI
perimenopause
56
consequences of long-term estrogen deprivation include osteoporosis due to an imbalance in bone remodeling and an increase risk for cardiovascular disease
perimenopause
57
masitis
inflammation of the breast
58
treatment for mastitis
heat or cold excision, aspiration, mild analgesics antibiotics and a supportive brassiere or breast binder
59
mammary duct ectasia
presence of dilated breast ducts containing a think pasty material with accompany periductal inflammation and fibrosis
60
with mammary duct ectasia pain and erytherma are
uncommon
61
ducta ectasia may be difficult to distinguish clinically from carcinoma and my require
biopsy
62
risk factors for breast cancer include
increasing age personal or family history hormonal influences that promote breast maturation late menopause no term pregnancy or first child after thirty years
63
modifiable risk factors for breast cancer
obesity physical inactivity long term use of alcohol postmenopausal hormone therapy long term
64
polycystic ovary syndrome
characterized by varying degree of menstrual irregularity signs of hyperandrogenism, and infertility and is most often associated with hyperinsulinrmis or insulin resistance
65
cause of polycystic ovary syndrome
chronic ovulation causing amenorrhea or irregular menses
66
polycyystic ovary risk factors
cardiovascular disease and type 2 diabetes
67
polycystic ovary syndrome diagnose
ultrasonography | laparoscopic visualization of the ovaries
68
polycystic ovary syndrome treatment
lifestyle modification, contraceptive agents
69
benign ovarian tumors occur mainly in women between
20-45 yrs old
70
malignant tumors are more common in women
45-65