Week 9- Reproductive system Flashcards

1
Q

Female genitourinary systems history has how many components?

A
  1. menstrual history
  2. obstetric history
  3. urinary symptoms
  4. menopause
  5. vaginal discharge
  6. sex
  7. contraceptive use
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2
Q

Questions to ask when assessing a PT’s menstrual history?

A
  1. when was your last period
  2. do you pain
  3. take meds?
  4. how old were at menarce
  5. bleeding or spotting between periods?
  6. birth control or medications impacting men. cycles
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3
Q

Questions to ask when assessing obstetric history

A
  1. how many pregnancies
  2. how many miscarriages
  3. how many abortions
  4. any premature births
  5. complicated pregnancies ex. gestational diabetes or pre-clampisa
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4
Q

menopause assessment

A
  • When did it start
  • what kind of symptoms did you have (hot flashes, irritability)
  • are you having/ every had any sotting after menopause (serious issue this should never occur in a women who has had menopause)
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5
Q

what urniary symptoms do you ask about

A
  • pain while urinating - dysuria
  • freq
  • urgency
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6
Q

vaginal discharge questions

A
  • color
  • bloody either full of blood or tinted
  • pain or burning
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7
Q

dyuria

A

pain while peeing

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8
Q

what other history do we want to know for a women

A

-did you have any surgeries to your reproductive system ever such as a c-section or an historectomy

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9
Q

what questions do you ask when you question about contraceptive use

A
  • are you using any kind
  • if using any, what is the primary reason for use
  • what kind do you use
  • do you smoke
  • do you use condoms every time
  • how long have you been on contraceptives
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10
Q

sexual history assessment for women

A
  • assess risk for STI and ways to reduce risk

- common STI- HIV, herpes, chlamydia, gonorrhea, HPV

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11
Q

what other things might you want to ask an aging women?

A
  • vaginal bleeding after menopause
  • vaginal itching
  • vaginal discharge
  • pain during intercourse
  • do you feel any pressure in your genital areas
  • loss of urine with cough or sneeze
  • do you have back pain or consatipation
  • are in an sexually active relationship
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12
Q

self care for women

A
  1. when was your last GYN checkup
  2. Last pap smear (tests for cervical cancer)- what were the results
  3. Did your mom take hormones while she was pregnant with you (has been related to female offspring growing up to being infertile
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13
Q

what is the greatest risk factor for developing cervical cancer

A

HPV virus

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14
Q

urinary system for men

A

ask about

  1. freq
  2. urgency
  3. nocturia
  4. dsyuria
  5. hesitancy and straining
  6. control of pee
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15
Q

Penis assessment

A
  • are there any lesions
  • when did you first notice them
  • is there pain, itching, burning associated with the lesions
  • is there discharge or stinging associated with the lesion
  • if yes to discharge what color
  • if you are sexually active does your partner have the same symptoms
  • have you had a new partner
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16
Q

are there any benefits of being circumsized s not being

A
  • cercumized penis is less likely to get an infection
17
Q

what questions should you ask about the scrotum

A

-when did you first see the enlargment
-is there pain- if yes then intermitttent or constant
-have you had a hernia
-self care bhaviors are
-problems with fertility
did you have recent truama to your grion area?

18
Q

Additional information for aging men

A
  • any problems urinating
  • do you ever leak urine when you don’t want you
  • do you have erectile dysfunction
19
Q

Testivular self examine- how often should you preform it

A

-monthly to understan what “normal” is which will make it easier for you to pick up chnages

20
Q

during a testicticular lump are cancerous lumps usually on one or both sides

A

-ususally on one side

21
Q

what types of prostate changes could you have

A
  • Benign prostatic hyperplasia

- prostate cancer

22
Q

what kind of tests can they do to assess for prostate cancer

A
  • prostate specific antigen

- digital rectal exam

23
Q

three things to assess for during subjective anus and rectum assessment

A
  • usual bowl routine
  • change in bowel habits
  • change in bowl characteristics
24
Q

health promotion about anus and rectal health

A
  • usual amount of hight-fiber food in your diet including: cereals, apples or other fruits
  • how muchw ater d you drink
  • when was your last rectal exam
  • stool blood test
  • colonoscopy
25
Q

what kind of screenings can we do for colorectal cancer

A
  • fecal occult blood test
  • flexible sigmoidoscopy
  • combination of FOBT and flexible sigmoidoscopy
  • colonscopy
  • double contrast barium enema