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Lecture 6 Flashcards

1
Q

What is endometriosis

A

Occurs when endometrial tissue (lining of the uterus)
grows outside of the uterus,

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2
Q

Endometriosis commonly occurs where?

A

Ovaries
Fallopian tubes
Connective Tissues
Vagina
Cervix
Bowel & Rectum
Bladder

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3
Q

Endometriosis is most common between what ages?

A

30-40

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4
Q

What percent of women between 15-44 does endometriosis effect?

A

11%

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5
Q

What are risk factors for endometriosis?

A

Nulliparous

Menstrual Periods over 7 days

Menstrual cycles under 27 days

Family History

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6
Q

What are common symptoms of endometriosis

A

Pain
Bleeding & spotting
Infertility
Digestive disturbances

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7
Q

Interstitial Cystitis/Painful Bladder Syndrome
is what

A

Chronic (long-term) pain condition that affects the bladder, and sometimes the pelvis/genitals

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8
Q

Interstitial Cystitis effects who more?

A

More women than men

primarily white women

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9
Q

How many american women are effected by interstitial cystitis

A

3-8 million

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10
Q

What is a common differential diagnosis with interstitial cystitis

A

Chronic urinary tract infection

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11
Q

What is the most common kind of dysmenorrhea

A

Primary dysmenorrhea

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12
Q

What is primary dysmenorrhea

A

Pain caused by contractions of uterus. Teens may get it during their first period. For most women it gets less painful as they get older.

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13
Q

What are the risk factors of primary dysmenorrhhea

A

Menarche began before age 11
Long or heavy periods
Smoking
Stress

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14
Q

What is secondary dysmenorrhea

A

Causes by other conditions such as
Endometriosis
Uterine Fibroids- Noncancerous tumors on wall of uterus
Ovarian Cysts - Fluid filled sacs on ovary

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15
Q

What is the female athlete triad

AKA Relative Energy Deficiency Syndrome

A

syndrome of poor health and
declining athletic performance that
happens when athletes do not get
enough fuel through food

Can effect any gender and age

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16
Q

What is anorexia

A

A mental health disorder in which a person severely limits the amount of food they eat to prevent weight gain.

Characterized by intense fear of weight gain

Effects more women than men

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17
Q

What is bulimia

A

Mental health disorder characterized by binging and purging (vomiting, laxatives, or over-exercising).

Signs & Symptoms include
* Swollen cheeks or jaw area
* Calluses or scrapes on the knuckles (if using fingers to induce vomiting)
* Tooth decay
* Broken blood vessels in the eyes
* Acid reflux, constipation, and other gastrointestinal problems
* Severe dehydration

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18
Q

Who does buliemia primarly effect?

A

Younger Women age 15-29

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19
Q

Bulemia effects _% of women

A

2%

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20
Q

What is Binge Eating Disorder

A

Binge eating at least once a week for 3 months or more

Eating to the point of discomfort/ faster than normal

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21
Q

What % of women have binge eating disorder?

A

3%

Typically begins in early 20s

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22
Q

What can increase the risk of binge eating disorder by a factor of 12

A

Dieting

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23
Q

What races are primarily effected by binge eating disorder

A

Black
Hispanic
Asian

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24
Q

What mental health conditions effect women more than men

A

Anxiety, Depression, PTSD by x2

BPD
Body Dysmorphia

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25
Daistasis Rectus Abdominus
separation and thinning of the rectus abdominus muscles and stretching of the linea alba by > 2 inches
26
Prevelance of Daistasis Rectus Abdominus
Week 21 of Gestation: 33% Week 6 Post Partum: 60% 6 Months post Partum: 45.4% 1 Year post partum: 32.6%
27
What is pregnancy related pelvic girdle pain?
LBP at Lumbo-Sacral, SIJ, and Pubic Symphysis Effects 20% of women
28
Signs and Symptoms of Pregnancy Pelvic Girdle Pain
29
Autoimmune conditions primary effect _____ about __% of the time
Women 75% of the time
30
Why are women more effected by autoimmune disease?
Advanced immune system compared to men
31
What auto immune diseases effect women disproportionately?
Hashimoto's Thyroiditis 10:1 ratio Systemic Lupus 9:1 Graves disease 7:1 Rheumatoid Arthritis 2.5:1
32
What are the most common causes of death in women?
Heart disease 21.8% Cancer 20.7% Chronic Lower Respiratory Disease 6.2% Stroke 6.2% Alzheimers 6.1%
33
After the age of 85, Women have more _____ than men
Stroke
34
It is ________ for a woman aged 20-39 to have a stroke compared to men
x2 Note: More women than men will have a repeat stroke after 5 years as well
35
What are the unique riskfactors for stroke in women?
Preeclampsia or gestational diabetes Hormonal birth control while smoking Hormone replacement therapy Menopause
36
Most breast cancer begins in the ______ or _____
Ducts or Lobules
37
There are ___ new cases of breast cancer every year for every 100,000 women
100
38
Breast cancer makes up about ______ of cancer diagnosed in women
One third
39
The median age of breast cancer diagnosis is
62 Very few are diagnosed before 45
40
Breast cancer prevelance increases with __ peaking around ______
Age Peaking around 75-80
41
Breast cancer risk factors
42
What is the most common cancer of the female reproductive system?
Ovarian cancer
43
What is the chance of developing ovarian cancer in a lifetime?
1 in 78
44
More than half of women diagnosed with ovarian cancer are over what age?
63
45
Who does ovarian cancer primarily effect?
White women
46
Ovarian Cancer risk factors
Age Family History Genetic Mutation: BRCA1 BRCA2 Lynch Syndrome Breast/Uterine/Colon cancer Eastern European or jewish Endometriosis Never given birth/ trouble getting pregnant
47
Where does cervical cancer come from in most cases?
HPV virus
48
Cervical cancer is frequently diagnosed between what ages?
35-44 Note: still primarily effects older women, 20% of cases in over 65
49
Hispanic women have the highest risk of ____ cervical cancer Black women have the highest risk of _____ cervical cancer
Hispanic: Being diagnosed with Black: Mortality from cervical cancer
50
What are the risk factors for cervical cancer
HIV, smoking, increased parity (over 3 births) Over 5 years on oral contraceptive higher number of sexual partners
51
How many women over 65 have osteoporosis?
1 in 4
52
Higher _____ levels before menopause help prevent osteoporosis
Estrogen
53
Why do women have osteoporosis more than men?
Live Longer Menopause Smaller bones
54
What are the risk factors of osteoporosis
Small thin frame Menopause White/Hispanic/Asian Insufficient Vit D, Calcium Low physical activity Amenorrhea Eating Disorder Smoking/Alcohol
55
Why does pelvic floor dysfunction develop?
Due to weakening of the structures that support the pelvic floor
56
What are examples of pelvic floor dysfunction
Pelvic organ prolapse Stress incontinence Urge incontinence/overactive bladder Fecal incontinence
57
What causes pelvic floor dysfunction
Pregnancy Aging(menopause) Genetics Obesity Smoking Chronic Constipation
58
Pelvic organ prolapse effects what % of women?
About 30% or 1 in 3
59
Pelvic organ prolapse happens ____
Gradually
60
Stress urinary incontinence effects what percent of women
30% or 1 in 3
61
Overactive bladder effects what percent of women?
15% of women of all ages
62
What causes overactive bladder?
Destrussor muscle contraction
63
Accidental bowel leakage effects what % of women
6% of younger women and 15% of older women
64
What are the risk factors of Accidental Bowel Leakage?
Vaginal delivery with Grade IV perineal tear Use of Forceps or vacuum in vaginal delivery Diabetes Radiation therapy CNS disorders Severe Constipation
65
What gender suffers more from constipation?
Women more than men 19.7% vs 10.6% Chronic constipation effects 1-8% of americans

Developmental Concepts (7 decks)

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