Breast & Female GU Slides Flashcards
Menorrhagia
Regular intervals between periods but with excessive flow and duration (ex: you get your period every 28 days but bleed like crazy for the period days)
Hypomenorrhea
Decreased flow during normal duration of regular period
Metorrhagia
Irregular intervals of menses but with excessive flow and duration
Polymenorrhea
Shortened intervals between periods, <19 to 21 days
Menometorrhagia
Irregular or excessive bleeding during periods and between periods
Oligomenorrhea
Lengthened intervals between periods, >35 days
Post-coital bleeding
Bleeding following intercourse
Amenorrhea
Absent period
Gravida
Total # of pregnancies regardless of the outcome
Parity
of deliveries, denoted as P _ _ _ _
Primigravida
in or has experienced her first pregnancy
Multigravida
more than one pregnancy
Nulligravida
never and is not pregnant
Multipara
delivered two or more pregnancies >20 weeks
Nullipara
no pregnancy that progressed past 20 weeks
Primipara
delivered one pregnancy >20 wks
Parturient
currently in labor
Puerperant
recently given birth (delivery to 42 days following)
In GgPtpal,
G means?
total number of pregnancies
In GgPtpal,
T means?
number of term pregnancies (37 weeks – 40 weeks and posterm)
In GgPtpal,
P means?
number of preterm pregnancies(20 weeks – 36 6/7 weeks)
How many weeks is considered pre-term?
20 weeks – 36 6/7 weeks)
How many weeks is considered term?
37 weeks – 40 weeks
In GgPtpal,
A means?
number of abortions (spontaneous or induced ending before 20 weeks) and ectopic pregnancies
In GgPtpal,
L means?
L = living children
The LMP is dated from the
a. first day of the last normal period
b. last day of the last normal period
c. first day of the last bleeding episode
d. last day of the last bleeding episode
a. first day of the last normal period
What is “witch’s milk?”
if you squeeze the breast bud of a newborn, may have a white fluid – “witch’s milk”, usually disappears in 2 weeks – 3 months
What is a supernumerary nipple?
May be normal variant but can also be associated with congenital renal or cardiac anomalies
This represents one of the first signs of puberty in a female?
thelarche (breast buds)
What glands in a female are located at 5 & 7 o’clock?
Bartholin glands- supply a mucus for the lubrication of the entrance to the vagina
What glands in a female are located at 11 & 1 o’clock?
Skene’s glands- homologous to the prostate glands in males
To check for cystocele or rectocele in a female, you should ask the patient to do what?
Bear down slightly
To feel for pelvic musculature of a female, you should ask the patient to do what?
Kegel “like you are holding in urine”
Which kind of speculum is often most suitable for examination of the nulliparous female?
a. Graves speculum
b. Pederson speculum
c. Morgans speculum
d. Ling speculum
b. Pederson speculum
Which kind of speculum is often most suitable for examination of the parous female?
a. Graves speculum
b. Pederson speculum
c. Morgans speculum
d. Ling speculum
a. Graves speculum
What is a Chadwick sign?
Bluish tint to cervix can be a sign of pregnancy
Anteverted uterus
normal position of the uterus, tilted forward in relation to the direction of the vagina
Anteflexed uterus
a forward angle of the fundus of the uterus in relation to the direction of the cervix
Retroverted uterus
position of uterus when it is tilted backward in relation to the direction of the vagina (not always abnormal position)
Retroflexed uterus
Backward angle of the fundus of the uterus in relation to the direction of the cervix. Usually only occurs when the uterus is retroverted.
