Flashcards in Week 13-GU Deck (47)
Benign breast development in men.
Accumulation of subareolar fat
What nodes are most likely to be felt in a breast exam?
Malignant cells from breast cancer may spread directly to the:
Infraclavicular nodes or into the internal mammary chain of LN within the chest
Usually bilateral, multi ductal, promoted by stim and ranges in color from white to yellow to green
Usually unilateral, bloody or serous and associated with a mass in women over 40.
Mass over 50:
Consider cancer first until proven otherwise
Irregular, firm, mobile, or fixed to surrounding tissue:
Mass age 15-25 consider:
Fibroadenoma - smooth, rubbery, round, mobile, nontender
Mass 25-50 consider:
Cysts: soft firm, round, mobile, often nontender
How to assess lateral portion breast.
Hand on forehead with shoulders against bed (flattens tissue)
How to assess medial portion of breast:
Hand on neck with shoulders against bed.
Spontaneous, unilateral, bloody discharge from 1-2 ducts consider:
Papilloma, DCIS, or Paget’s disease of the breast
Vaginal surface of the cervix, what is seen with speculum.
Opening of the cervix, marks the opening into the endocervical canal.
Continuation with the vaginal lining.
During puberty, the broad band of columnar epithelium encircling the os is gradually replaced with squamous epithelium.
Forms the boundary between squamous epithelium and columnar epithelium. This migrates toward the os and creates the transformational zone.
Area at risk for later dysplasia and is the area sampled with Pap smear
Defined as cessation of bleeding for 12 months
Causes of post-menopausal bleeding:
Endometrial cancer, HRT, and uterine and cervical polyps
Most common cause of acute GU pain?
PID May also be ruptured ovarian cysts or appendicitis
Chronic GU pain associated with;
Endometriosis, uterine fibroids, PID, consider sexual abuse
When to stop cervical cancer screening?
65 and has had 3 consecutive negative cytology tests
3 major symptoms of ovarian cancer:
Urinary frequency (usually reported within 3 months of dx)
Sti screening in sexually active females over 25:
STI testing in pregnancy:
Chlamydia, hepatitis B, syphilis, hiv
STI testing in gay, bisexual, MSM, multiple or anonymous partners:
Chlamydia, GC, and syphilis annually of 3-6 months based on risk