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Flashcards in female disorders Deck (71):
0

bartholin gland cyst and abscess

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

1

bartholin gland cyst symptoms

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

2

bartholin gland cyst
treatment

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

3

bratholin gland cyst

marsupialization

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

4

vulvodynia

unexplained vulvar pain

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vulvodynia

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

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cervicitis

acute of chronic inflammation of the cervix

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endometriosis

functional endometrial tissue is found in ectopic sites outside the uterus

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endometriosis becomes apparent in the

reproductive years

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endometriosis lesions are stimulated by

ovarian hormones associated with infertility

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endometriosis symptoms

pelvic pain back pain
dyspareunia, pain on defecation and micturition

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endometriosis definitive diagnosis can only be accomplished through

laparoscopy

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endomitriosis treatment

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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endometriosis definitive treatment requires total

hysterectomy and bilateral salpingoophorectomy

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adenomyosis

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

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adenomyosis is typically found in

multiparous women in there fourth or fith decade

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adenomyosis symptoms

heavy, painful periods with clots and dyspareunia

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adenmoyosis resolves with

menopause

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adenomyosis treatment

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

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endometrial cancer

most frequent invasive cancer of the female reproductive tract

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endometrial cancer is typically a disease in ______ women

postmenopausal

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

perimenopausal
estrogen

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endometrial cancer risk factors

obesity, diabetes, nulliparity, early menarche and late menopause

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endometrial cancer symptoms

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

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endometrial cancer diagnosis

dilatation and curettage

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endometrial cancer treatment

surgery and radiation are most successful

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cystocele

herniation of the bladder into vagina

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cystocele symptoms

annoying bearing down sensation, difficulty emptying bladder, frequency and urgency and cystitis

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rectocele

herniation of the rectum into the vagina

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rectocele symptoms

discomfort of the protrusion of the rectum an difficulty in defecation

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enterocele

bowel protrudes when woman is standing

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uterine prolapse

bulging of the uterus into the vagina when the primary supportive ligaments are stretched

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uterine prolapse
first degree

shows some descent but cervix has not reached introitus

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uterine prolapse
second degree

cervix or part of the uterus has passed through the introitus

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uterine prolapse
third degree

entire uterus protrudes through the vaginal opening

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what could you teach a pt with uterine prolapse that could fix these problems

kegel exercises

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most uterine prolapse require

surgery

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bartholin cyst produces acute inflammation within the gland and may result in

abscess

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vulvodynia treatment

avoid harsh soaps & perfume
sitz baths
antihistamines
anti-fungal
application of topical ointments (lidocaine ointment)

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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

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oral medications including tricyclic antidepressants and are ur to treat pt with vulvodynia for

neuropathic pain

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acute cervicitis

may result from direct infection of the cervix or may be secondary to vaginal or uterine infection

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acute cervicitis
symptoms

cervix become reddened and edematous and there may be mucopurulent drainage

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chronic cervicitis seen mostly in ________ women

parous

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chronic cervicitis symptoms

cervix may be ulcerated or normal in appearance cervical os may be distorted

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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

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chronic cervicitis is diagnosed by

vaginal exams coloscopy pap smears and sometimes biopsy

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treatments for chronic cervicitis

cryosurgery and cauterization

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premenstrual syndrome disorders physical symptoms include

painful and swollen breast bloating, abdominal pain headache and beack ache

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premenstrual syndrome disorders psychological symptoms

depression ,anxiety, irritability, and behavioral changes

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premenstrual syndrome disorders diagnosis

focus on documentation of the relationshipof woman symptoms to the lutal phase of the menstrual cycle

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premenstrual syndrome disorders treatment

lifestyle changes
pharmacological treatment
( diuretics nasids anxiolytics)

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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

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perimenopause

yrs surrounding menopause (approx 4yrs and is characterized by menstrual irregularity and other menopausal symptoms

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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

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can cause vaginal dryness, urinary stress incontinence, urgency, nocturoa, vaginitis, UTI

perimenopause

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consequences of long-term estrogen deprivation include osteoporosis due to an imbalance in bone remodeling and an increase risk for cardiovascular disease

perimenopause

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masitis

inflammation of the breast

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treatment for mastitis

heat or cold excision, aspiration, mild analgesics antibiotics and a supportive brassiere or breast binder

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mammary duct ectasia

presence of dilated breast ducts containing a think pasty material with accompany periductal inflammation and fibrosis

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with mammary duct ectasia pain and erytherma are

uncommon

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ducta ectasia may be difficult to distinguish clinically from carcinoma and my require

biopsy

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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

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modifiable risk factors for breast cancer

obesity physical inactivity
long term use of alcohol
postmenopausal hormone therapy long term

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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

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cause of polycystic ovary syndrome

chronic ovulation causing amenorrhea or irregular menses

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polycyystic ovary risk factors

cardiovascular disease and type 2 diabetes

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polycystic ovary syndrome diagnose

ultrasonography
laparoscopic visualization of the ovaries

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polycystic ovary syndrome treatment

lifestyle modification, contraceptive agents

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benign ovarian tumors occur mainly in women between

20-45 yrs old

70

malignant tumors are more common in women

45-65