Week 9- Reproductive system Flashcards
Female genitourinary systems history has how many components?
- menstrual history
- obstetric history
- urinary symptoms
- menopause
- vaginal discharge
- sex
- contraceptive use
Questions to ask when assessing a PT’s menstrual history?
- when was your last period
- do you pain
- take meds?
- how old were at menarce
- bleeding or spotting between periods?
- birth control or medications impacting men. cycles
Questions to ask when assessing obstetric history
- how many pregnancies
- how many miscarriages
- how many abortions
- any premature births
- complicated pregnancies ex. gestational diabetes or pre-clampisa
menopause assessment
- 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)
what urniary symptoms do you ask about
- pain while urinating - dysuria
- freq
- urgency
vaginal discharge questions
- color
- bloody either full of blood or tinted
- pain or burning
dyuria
pain while peeing
what other history do we want to know for a women
-did you have any surgeries to your reproductive system ever such as a c-section or an historectomy
what questions do you ask when you question about contraceptive use
- 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
sexual history assessment for women
- assess risk for STI and ways to reduce risk
- common STI- HIV, herpes, chlamydia, gonorrhea, HPV
what other things might you want to ask an aging women?
- 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
self care for women
- when was your last GYN checkup
- Last pap smear (tests for cervical cancer)- what were the results
- Did your mom take hormones while she was pregnant with you (has been related to female offspring growing up to being infertile
what is the greatest risk factor for developing cervical cancer
HPV virus
urinary system for men
ask about
- freq
- urgency
- nocturia
- dsyuria
- hesitancy and straining
- control of pee
Penis assessment
- 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