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Flashcards in women's health (unit 3) Deck (115)
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1

menarche

•avg. age 12.5 yrs
•irregular and scant

2

menstrual cycle

•28 day duration
•1st day of period=1st day of cycle

3

leading causes of death in women

•heart dz
•cancer
•cerebrovascular dz
•pneumonia, influenza
•chronic lung dz

4

education prior to pelvic exam

•schedule b/t periods
•don't douch or have sex 48 hr
•no vag. meds, sprays, etc
•empty bladder

5

Papanicolaou (Pap) test

•screening for cancer
•speculum, spatula, and brush used to collect cells
•first @ 21 y/o
•qyr to 30

6

bimanual examination

•purpose is to palpate size, position, and consistency of uterus and cervix
•any ovarian tumors found are advanced

7

breast exams

•yearly by MD
•monthly by self
•mammogram yearly afte 40
•q2yrs after 50
*lawn mower starting at axilla

8

inspection during breast exam

•texture/color
•nipple position
•symmetrical movement
•dimpling or masses

9

palpation during breast exam

•lymph nodes
•while sitting and lying

10

fibroadenoma

•benign breast disorder
•firm hard, feely mobile mass (NOT cancer)
•DONT change w/ cycle
•teens/20s

11

fibrocystic changes***

•benign breast disorder
•bilateral pain/tenderness
•occurs prior to menopause
•CHANGES during cycle
•tx: OTC pain meds (NSAIDs); no caffeine

12

ductal ectasia

•benign breast disorder
•ducts become distended and filled
•irregular mass
•enlarged axillary nodes
•nipple retraction and d/c
•occurs near menopause

13

intraductal papilloma

•benign breast disorder
•d/c from nipple
•occurs near menopause

14

high risk of breast cancer

•personal/fam hx of breast CA
•hx of uterine/ovarian/colon CA
•> 50 y/o
•nulliparity or AMA
•early menarche/late menopause
•lifestyle factors

15

invasive breast cancer

•when tumor growth expands into tissue surrounding duct

16

metastasis

•cells are spread from tumor by both blood and lymph
•common end sites are lungs, liver, bones

17

inflammatory breast cancer

•blocks lymph vessels in breast skin
•Peau de' orange
•aggressive
•dx by biopsy

18

breast cancer dx

•fine needle biopsy
•incisional biopsy (lumpectomy)

19

lumpectomy

•breast cancer tx
•lump and surrounding tissue are removed

20

simple mastectomy

•entire breast removed

21

modified radical mastectomy

•entire breast and surrounding lymph nodes removed

22

lumpectomy/mastectomy post-op

*prevent lymph edema
•no venipuncture/BP on affected arm
•arm above heart in RR
•exercise arms

23

breast cancer tx adjuvant therapies

•radiation
•chemo
•hormones (SERMs)
*depends on age and stage of CA

24

tamoxifen

•hormone breast CA adjuvant therapy
•only works on estrogen receptive tumors
•blocks estrogen in body
•SE: similar to menopause
*SERM- selective estrogen receptor modulator

25

candidiasis

•vaginal infection r/t moniliasis or yeast
•pH < 4.5
•white, thick, curdy, no odor d/c
•itching
•not sexually transmitted
*recurrent yeast r/t HIV+

26

candidiasis med tx

•Monistat
•gyne-lotrimin
•mycostatin
•diflucan
•vagistat
•terazol

27

bacterial vaginosis

•malodorous, profuse dc that is thin gray/white or yellow/green
•pH >5
•not sexually transmitted
•refrain from sex until cured

28

bacterial vaginosis med tx

•metronidazole
•clinda cream

29

gonorrhea

•green d/c, dyspareunia, dysuria
•abx tx

30

chlamydia

•yellow d/c
•asymptomatic in women
•can lead to infertility or PID if no tx
•tx: abx